VOA [Voice of America] Global English : September 18, 2018 01:00PM-02:00PM EDT
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VOA [Voice of America] Global English : September 18, 2018 01:00PM-02:00PM EDT
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- 2018-09-18
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Closed captions transcript:
00:00:00
Missing to take
countermeasures against U.S.
00:00:02
President Donald Trump's plans to impose
an additional two hundred billion dollars
00:00:06
with the tariffs on Chinese imports we're
going to pressure China into substantial
00:00:10
change changes will have to come because
they are seen as being good for the
00:00:14
development of the Chinese economy and
that's mats the president of European Union
00:00:18
Chamber of Commerce in China the new duties
which take effect next Monday September
00:00:22
twenty fourth will begin at ten percent and
rise to twenty five percent in January
00:00:27
of next year the terrorists will be on
posed on that thousands of consumer goods
00:00:31
including electronics food tools and
housewares and the leaders of North and South
00:00:37
Korea have begun the first of three days
of negotiations in Pyongyang aimed at
00:00:41
reaching an eventual agreement on the nuclear
reservation The Big Question at this
00:00:45
summit is whether or not Jim is serious
about denuclearization and it may set the
00:00:51
stage for a second summit with U.S.
00:00:53
President Donald Trump according to Moon's
aides Trump has asked the South Korean
00:00:57
president to be chief negotiator between
himself and Kim after canceling
00:01:02
a trip to Pyongyang by
Secretary of State my pump a
00:01:05
a last month that's Reuters Grace
Lee reporting and this is below
00:01:09
a news. The Senate Judiciary Committee will
hold public hearings next week to hear
00:01:15
from U.S.
00:01:15
Supreme Court nominee Brett Kavanaugh and
the woman who's accused him of assaulting
00:01:20
her three decades ago while the two
were in high school but as A.P.
00:01:23
Washington correspondent soccer Madonna
reports President Trump is standing by his
00:01:27
Supreme Court nominee just days ago
Kavanagh's confirmation appeared all but
00:01:32
certain there is some doubt now that the
president's ruling out with drawing the
00:01:36
judge's name next question What
00:01:38
a ridiculous question he's still baccy
Cavanaugh's character one of the finest
00:01:43
people that I have a note of but in
00:01:44
a sign of just how politically perilous
the Kavanaugh allegation is in the ME to
00:01:49
age the president's defense is somewhat
muted say he wants the Senate to go through
00:01:54
a complete process and here everybody out
before eventually confirming his second
00:01:59
High Court pick as it takes
a little delay will take
00:02:02
a lot of the lead solder Megali at the White
House President Trump has ordered the
00:02:06
Justice Department to declassify documents
related to the investigation into
00:02:10
Russian election meddling White House
spokeswoman Sara Sanders says the information
00:02:14
to be made public includes F.B.I.
00:02:16
Surveillance warrants of a former Trump
campaign advisor and reports of F.B.I.
00:02:21
Interviews with a high
ranking official at the U.S.
00:02:23
Justice Department Mr Trump has
consistently said some of the F.B.I.
00:02:27
And Justice Department reports are
biased and tainting the independent
00:02:31
investigation into whether his campaign
collaborated with Russia to swing the two
00:02:36
thousand and sixteen election in his favor
an Iranian government aligned group of
00:02:40
hackers launched a major
campaign targeting
00:02:43
a Mideast energy firms
and others ahead of U.S.
00:02:46
Sanctions on Iran that's according to
00:02:48
a cyber security firm it says
while the firm Fire Ice says
00:02:52
a so-called spearfishing e-mail campaign
only involves hackers stealing information
00:02:56
from infected computers
but it also involves
00:02:59
a similar type of malware
previously used to inject
00:03:02
a program that destroyed tens of thousands
of terminals in Saudi Arabia the
00:03:07
divisions between member states threaten
to derail European Union so. Migration
00:03:12
scheduled Wednesday in the Austrian city
of Salzburg in Ridgwell reports reveal way
00:03:17
even within Europe's political alliances
on the right and left there are growing
00:03:23
divisions over Migration says analyst
Leopold Traugott of policy analysts group
00:03:28
Open Europe the summit will most likely
again be portrayed as the the battle
00:03:33
between on the one had the progressives
want to keep you up open want to continue
00:03:37
to help asylum seekers on the other hand
the hardliners the populists who want to
00:03:40
close you up down and create
00:03:42
a fortress you up but again the division
isn't that clear cut at London's
00:03:46
insistence Britain's exit from the European
Union just six months away will also be
00:03:52
discussed in Ridgwell reporting for really
News I'm Tommy McNeill the way news.
00:04:16
Today is Tuesday September eighteenth
twenty eighteen and this is being
00:04:21
a ways international edition I'm Jim Birch
hell for Sarah Williams in Washington
00:04:26
coming up Russia is blaming
Israel for the loss of
00:04:29
a military plane off Syria to
secure external borders. Frontline
00:04:36
countries of the European Union need our
support the new dollar solidarity but on
00:04:41
the other hand they also have to accept
to support them to help of the European
00:04:47
Union the European Union prepares for
00:04:49
a migration summit on Wednesday Also ahead
rescuing the four legged victims of
00:04:54
Hurricane Florence It's all coming up on
today's international edition. Russia says
00:05:00
should Syria shot down one of its military
planes but lays the blame for the deaths
00:05:05
of the fifteen people on
board with Israel A.P.
00:05:09
Correspondent Charles Dillard ESMA reports
the Russian defense ministry says the
00:05:13
act was brought down by
00:05:15
a Syrian missile over the Mediterranean
killing all fifteen people on board Moscow
00:05:20
blames Israel for the crash saying the plane
was caught in the crossfire as Fall is
00:05:24
ready fighters attacked targets in northwestern
Syria and official says the Israeli
00:05:29
pilots had been using
the Russian aircraft as
00:05:32
a shield and had pushed it into the line
of fire of the Syrian defense both the
00:05:37
Israeli military and Israel's foreign
ministry declining to comment on the Russian
00:05:41
account of what took place in the skies
over northwestern Syria on Monday I'm
00:05:46
jealous of that as well Meanwhile Russian
and Turkey have agreed to create
00:05:50
a new demilitarized zone separating pro
Syrian government and opposition forces for
00:05:56
control of Northwest in lip province
bordering Turkey it forestalls for now
00:06:01
a planned Russian backed assault on the
last major rebel stronghold in Syria that
00:06:05
is opposed by Turkey Russian President
Vladimir Putin said in his talks with his
00:06:11
Turkish counterpart Recep
Tayyip everyone it was agreed
00:06:14
a contact line would be created by October
fifteenth facilitating the withdrawal of
00:06:19
what he called radically minded militants
alum PIAA and directs the Middle East
00:06:24
Studies Center at the Ohio State University
he told be always Victor Beattie this
00:06:30
third meeting between the two leaders is
a direct result of the Russian sponsored
00:06:34
a stun your process named after the cause
00:06:37
a capital where Moscow has hosted Syrian
peace talks. So apparently is what Turkey
00:06:43
and Russia have decided that they should
read no assault on ad lib because the
00:06:49
United Nations the United States and many
other Europeans and Muslim countries have
00:06:54
protested that that that would be human
when it got in disaster because in the end
00:06:59
it lived that are not only some tentative
groups like the last and others active
00:07:03
but it's about three million civilians that
are living there so that would bitterly
00:07:09
and this is one reason why Turkey was against
that this assault from the beginning
00:07:13
and Iranians Iran and Russia which is
supporting the Bashar al Assad government and
00:07:18
they were keen to probably make this attack
and then finally to move the terrorists
00:07:23
from that area but finally they have learned
that it's not that easy there would be
00:07:27
a large number of the civilian casualties
so probably they have come to their
00:07:31
senses and now they have decided though
there would be about fifteen to twenty
00:07:35
kilometer away from the city so that that
would diminish what I saw on and that dim
00:07:40
a televised on would be will probably somehow
protected by Turkish and by the Sion
00:07:45
forces there is one thing that we did not
see in the news that is nothing about
00:07:49
Iran that what the Iranian supporting forces
would be doing and so they've totally
00:07:54
host it marginalized it on here and it
was probably deliberate in the part of
00:07:59
Turkey and Syria that Iran is not
00:08:01
a party to this somehow to keep reason iron
quiet and Americans quite so maybe that
00:08:06
was the reason that they just got not
mentioning much about it on need the Russian
00:08:10
President Putin nor Turkey's leader there
to want explained how they plan to
00:08:16
differentiate quote unquote radically minded
rebels from other anti outside groups
00:08:21
in lib Yes The problem is that in Atlanta
and as in many other cities so it is not
00:08:27
only that radical groups such as ISIS the
Eleanor there are civilians and there
00:08:34
are many other former military officers who
are against the Bashar al Assad regime
00:08:38
so they're not a position that is
00:08:39
a Free Syrian Army. There are some critics
groups that were also opposing the
00:08:44
shuttle sub government so it's not only
that the terrorists are in control of adlib
00:08:49
there are many other groups so who are
opposing the Bashar al Assad government and
00:08:54
so so for that reason that
thinking that it would be but
00:08:56
a hand to hand combat if they would go
in and that would probably it is altered
00:09:00
a very large number of civilian casualties
but by the way we have to keep things in
00:09:04
perspective of almost
00:09:06
a twenty four hour print do five million
Syrian estimated Syrian population five
00:09:11
million of them have become refrigerators
outside Syria and six million are
00:09:15
internally displaced and about half
00:09:17
a million Syrians have been killed since
two thousand and eleven will it liberal
00:09:22
main outside of Syria or will eventually
be brought into the Syrian fold but that's
00:09:28
what the city is counting on
time however Mustafa said Hari
00:09:32
a member of the rebel Free Syrian Army told
Reuters Tuesday the Russia Turkey deal
00:09:38
ens President Bashar al Assad's hope of
regaining full control of the lip he said
00:09:43
it will provide a springboard for
00:09:45
a political transition that will end
the Syrian leaders authoritarian rule.
00:09:53
Among the top stories in the world the most
powerful tropical storm of the year to
00:09:58
date left
00:09:58
a swath of possibly long term damage after
killing more than sixty people in the
00:10:03
Philippines and another four in China
thousands of parents are withdrawing their
00:10:08
children from schools in the English
speaking regions of Cameroon after armed men
00:10:12
attacked and wounded dozens of
people Iranian media is reporting
00:10:16
a bus collided with
00:10:17
a tanker in central Iran killing at least
twenty one people and injuring nearly two
00:10:22
dozen others UN investigators accuse the
ME and Maher military of committing the
00:10:27
most serious crimes under international law
expanded coverage of these stories and
00:10:32
more are on the V.O.A. News dot
com website and on our V.O.A.
00:10:36
Mobile app this is international
edition. This is.
00:10:47
As
00:10:47
a team of astronomers were looking beyond
Pluto for the mysterious planet nine they
00:10:51
wound up discovering
00:10:52
a dozen new moons orbiting Jupiter the
astronomers call the eleven of them normal
00:10:58
outer moons but there is also one they
label as an oddball the oddball move has
00:11:03
a pro-grade orbit which means it circles
the planet in the same direction but
00:11:08
unlike Jupiter's other pro-grade moons
the New Moon's orbit crosses the path of
00:11:12
others orbiting and retrograde shortly
opposite direction setting up the
00:11:17
possibility of
00:11:18
a collision team leader Scott Sheppard
from the Carnegie Institution for science
00:11:23
calls the oddball orbit and
unstable situation and that
00:11:26
a head on collision would quickly break the
objects apart and grind them down into
00:11:31
dust the sky every of the twelve objects
brings the total of known Jovian moons to
00:11:36
seventy nine I'm Vio always
Rick Perry until A.O.
00:11:40
. This is video ways
00:11:46
international edition South Korean president
in is in Kyung young for the first of
00:11:52
three days of negotiate. And with North
Korean leader Kim Jong un the always Steve
00:11:57
Miller is covering the summit from Seoul
he tells us about the arrival reception at
00:12:02
the airport it was actually
00:12:03
a pretty interesting sun to be seen so at
that seeing airport tarmac was laid out
00:12:10
with
00:12:10
a red carpet and surrounding the
red carpet were air naval and army
00:12:17
forces from the Korean People's
Army and then also there was
00:12:21
a huge military band there and then also
on the periphery there were several North
00:12:27
Koreans standing there the men were wearing
pressed black suits and the women were
00:12:32
wearing traditional clothes called mbox
some were carrying flowers or carrying the
00:12:38
North Korean flag and some were actually
carrying the unified Korean peninsula flag
00:12:43
first saw during the twenty John Winter
Olympics when President Moon's plane landed
00:12:49
taxi to around and then about
ten am The doors open prior to
00:12:56
that it was dead silence on the tarmac and
then the military band played and that's
00:13:01
when Kim Jong un and his wife who
sold through the departure gates
00:13:08
and walked out on that red carpet and
waited for can. President Moon and his wife
00:13:15
to descend the staircase where they met
with hugs and handshakes what do we know
00:13:20
about the first day of talks with the
schedule was really jam packed so following
00:13:25
that welcome ceremony at the airport and
separate luncheons at the guesthouse. Then
00:13:31
kind of split apart and started their
Korean summit so President moon and North
00:13:37
Korean leader Kim Jong
un started their summit
00:13:39
a little bit later than expected with
00:13:41
a post or three thirty third fifteen minutes
late you know they actually had held
00:13:46
in the headquarters of the Central Committee
for the North Korean Workers Party who
00:13:50
were Kim's offices and the two Korean
leaders. Began their session Kim Jong un
00:13:55
thank President them for his efforts to
improve Korean relations and the South
00:13:59
Korean leader also think its
counterpart for a decision to open
00:14:04
a new era of peace on the peninsula Now
while that meeting was taken place the
00:14:11
wives. Actually had their own mini summit
their own day away they went to well Q
00:14:17
Children's Hospital and then on to the Kim
Wong University of music because they
00:14:24
both have a music background and they
were accompanied by a composer and
00:14:27
a couple of key pop singers on their trip
when the did nuclearization of the Korean
00:14:31
Peninsula is one of the key topics at the
summit as the South Korean delegation
00:14:36
discussed any progress on the issue now
that's one thing that really hasn't been
00:14:40
forthcoming from the reports from the
summit and not clear whether that would be
00:14:45
with one more round of talks scheduled
for tomorrow during Tuesday's afternoon
00:14:50
press briefing the press secretary for the
president said crack how much progress
00:14:55
would actually be made on the nuclearization
talks and that it was necessary to
00:15:00
wait until Wednesday's talks
concluded and if there would be
00:15:05
a joint press statement made in the
afternoon to announce any kind of agreement
00:15:10
that would be made but if there are any
agreements made it's also unclear how much
00:15:16
detail we would get because we were
informed that present moon J.N.
00:15:20
Would speak directly to U.S. President
Donald Trump on the sidelines of the U.N.
00:15:24
General Assembly to relay any kind of
concessions or any kind of information that
00:15:30
would make as a result of this summit
Well Steve Miller you've been doing
00:15:34
a great job covering the summit for
00:15:36
a symbolic four talking to you tomorrow
Steve Miller in Seoul thanks so much my
00:15:41
pleasure elsewhere in Asia President Trump
impose tariffs on an additional two
00:15:46
hundred billion dollars worth of
Chinese goods coming into the U.S.
00:15:50
Continuing an ongoing trade war between
the two countries China says it has no
00:15:54
choice but to retaliate A.P.
00:15:56
Correspondent Julie Walker reports in the
latest trade war to for tat China says it
00:16:01
will swiftly retaliate against American
exports a move that stands to hurt U.S.
00:16:06
Farmers another U.S.
00:16:07
Company selling products to China this
after the top administration said. Will
00:16:12
begin taxing two hundred billion in Chinese
goods Starting Monday the target list
00:16:17
is huge ranging from purses to retain mats
to burglar alarms to bicycles Trump says
00:16:23
the tariffs are designed
to force China to change
00:16:25
a range of unfair trade practices the two
countries already had import taxes on
00:16:30
fifty billion worth of each other's
products I'm Julie Walker in Europe deep
00:16:35
divisions between member states threaten
to derail the European Union summit on
00:16:39
migration scheduled for Wednesday in the
Austrian city of Salzburg we get the story
00:16:44
from Henry Ridgwell in London.
00:16:53
Sixty African migrants were plucked from
the Mediterranean moments before their
00:16:58
inflatable boat sank beneath the waves in
00:17:01
a perilous rescue Saturday by Spanish
authorities it is the latest of dozens of
00:17:07
such operations this year on the so-called
western Mediterranean route which now
00:17:12
accounts for more than half of all illegal
crossings into the European Union most
00:17:17
of the migrants are from Guinea Mali and
Morocco overall migrant numbers into
00:17:23
Europe are down forty percent year on year
but migration continues to dominate E.U.
00:17:30
Policy debate visiting Paris before
Wednesday's Salzburg summit host Austrian
00:17:36
Chancellor Sebastian curds Monday called
for an enhanced role for the E.U.
00:17:41
Border agency Frontex across the blocks
external frontiers to secure external
00:17:48
borders the front line countries of the
European Union need our support the new
00:17:53
dollar solidarity but on the other hand
they also have to accept to support them to
00:17:59
help of the European Union that was
00:18:02
a thinly veiled message for frontline
states including Italy and Hungary whose
00:18:08
governments have repeatedly blamed the
European Union for them. Migrant crisis
00:18:13
speaking to lawmakers Monday Hungary's
prime minister Viktor Orban offered
00:18:18
a blunt response has your bunny
of doing mean to buy. He says
00:18:25
Hungary is better
00:18:26
a border protection than anyone else in
Brussels or some international organization
00:18:31
therefore Hungary will not give up the
rights to protect its borders even within
00:18:37
Europe's political alliances on the right
and left there are growing divisions over
00:18:42
Migration says analyst Leopold trial gods
of policy analyst group Open Europe the
00:18:48
summit will most likely again be portrayed
the battle between on the one had the
00:18:52
progressives want to keep you up open want
to continue to help asylum seekers on
00:18:57
the other hand the hardliners the populists
who want to close your up down and
00:19:00
create
00:19:01
a fortress Europe but again division isn't
that clear cut at London's insistence
00:19:06
Britain's exit from the European Union just
six months away will also be discussed
00:19:12
the International Monetary Fund warned
Monday that failure to strike an exit deal
00:19:17
would entailed in its words substantial
costs for Britain's economy Henry which
00:19:22
will give you a news London visit V.O.A.
00:19:25
News dot com for more on this and all of
today's latest news I'm Jim Breuer Tel and
00:19:31
you're listening to international
edition on veal way.
00:19:38
You love music how about Shelton Carrie
Underwood and Merle Haggard in the Ritalin
00:19:43
experience the best in country music
and country hits USA I bring you some
00:19:48
countries rock out
00:19:50
a little hillbilly contemporary more with
the death of entertainment news doing so
00:19:55
join me for country hits USA on
dealing with the Voice of America.
00:20:07
Take your pick what's on television logon
to look Internet listen right. On the
00:20:13
radio below I am sure you host those to
talk Africa from the Voice of America each
00:20:18
one is then I will put you in touch with
newsmakers explodes as the UN talk about
00:20:24
the most important social and political
issues in Africa say I'll be waiting for
00:20:30
your corner Wednesday night straight
talk Africa from the Voice of America.
00:20:41
And this is an international edition the
remnants of Hurricane Florence that struck
00:20:46
the southeastern U.S.
00:20:48
Is now soaking areas in the northeast
with heavy rain as forecasters warn of
00:20:52
widespread flooding threats the latest
warnings accompany the flooding in North
00:20:56
Carolina where Florence hit as
00:20:58
a Category one hurricane last week and
dropped up to ninety centimeters of rain as
00:21:03
it lingered for several days at least
thirty two deaths are blamed on the storm
00:21:08
people aren't the only ones suffering
from the storm many household pets were
00:21:12
trapped in crumbling shelters now volunteers
and donations have begun pouring in
00:21:17
for them
00:21:18
a rush are both soggy reports from North
Carolina. Dry Goods and other pet supplies
00:21:25
are just some of the donations pouring
in from people who want to help dogs and
00:21:28
cats in rural parts of North Carolina since
Hurricane Florence covered much of the
00:21:33
state with record setting rainfall all in
tears say each one of the stacks of dry
00:21:38
food weighs more than four hundred fifty
kilograms. Donations mostly sourced
00:21:43
through Facebook help deliver the better
name care for the dog sheltering at the
00:21:47
North Carolina State Fairgrounds I want to
people we saw that secure Trina they're
00:21:52
not leaving their houses and less they
can take their jobs with them for many
00:21:57
people the jobs are all they have. People
donated mostly cleaning supplies and
00:22:02
water while being
00:22:03
a chef Jose Andres and his nonprofit world
center kitchen help feed volunteers but
00:22:08
it's just wrong it's teamwork you know I've
got people that probably never. In the
00:22:12
case before I've got people have never dog
walked the dog before but it's just the
00:22:16
news it wasn't where they need it. Volunteers
say much of these goods are going to
00:22:22
some of the most rural parts of the state
where people may not have electricity or
00:22:26
clean water area residents went shopping
just to donated all everything on the
00:22:30
lists actually so dog food leaves
blankets towels paper towels or hocks
00:22:37
wipes and bowls the more than one hundred
animals at this makeshift shelter will be
00:22:42
matched with foster care homes if they're
not claimed by owners of the next or next
00:22:47
unlikely volunteer say as they were already
abandoned meaning these animals are now
00:22:51
more likely than ever to find permanent
homes rush to be only news Raleigh North
00:22:56
Carolina in Baltimore
00:22:58
a free after school music program called
orchids is being used as an instrument of
00:23:03
change for children in underprivileged
neighborhoods the program sponsored by the
00:23:07
Baltimore Symphony Orchestra
aims to create social change in
00:23:11
a city where about forty percent of the
population live in poverty via ways Deborah
00:23:17
block reports. Here at the SEED School in
00:23:23
Baltimore fifteen year old
Nina Robinson concentrates on
00:23:27
a piece of classical music for the past
four years has been taking free after
00:23:33
school group violin lessons through for
kids and makes me so happy because I know
00:23:40
I know like I can do different styles. Her
teacher aren't him working career and
00:23:47
study violin at the prestigious Peabody
Institute in Baltimore Kim says Nina's
00:23:53
determination has helped make her
00:23:55
a top student. Given someone
like me not the confidence. And
00:24:02
the practice to be in
front of people to have
00:24:05
a skill set that you can be proud of. Name
as musical journey started when she and
00:24:11
her mother soon. And Johnson watched
00:24:13
a concert in Baltimore that showcased more
kids not knowing that one day Nima would
00:24:19
be onstage herself with the mostly
African-American girls. And them elbow name and
00:24:25
number one what you should be doing. Had
00:24:31
a hard start in life with
both parents in prison as
00:24:35
a result Johnson became both Guardian
and mother to her she's helped me
00:24:41
a lot shares my number one
supporter she fusses I made
00:24:44
a practice is precious to me and like if
it wasn't for Mom I don't think I would
00:24:49
like
00:24:49
a rolling voice wasn't good in playing.
Thanks to her free violin lessons Nina
00:24:57
was accepted into the Baltimore school for
the Arts where she now studies music.
00:25:03
She hopes to earn
00:25:04
a college degree in music so she can teach
other black children like herself how to
00:25:10
live their lives on
00:25:11
a high no. It doesn't matter what
race you live. You can use. As
00:25:19
if it's your passions it's
your passion. Deborah blah
00:25:25
feelings fault. This is video ways
00:25:32
international edition
00:25:33
a Japanese entrepreneur has signed up to
be the first passenger that privately
00:25:38
owned space X.
00:25:39
Will fly to the moon speaks to the
founder and chief executive officer Musk
00:25:44
introduced USACA Meyers Arwa during an
event Monday evening for me these projects
00:25:50
these very meaningful I have thought long
on the hot about the how very enable it
00:25:56
to be to become the fast private jet to
go to the moon at the same time I thought
00:26:03
about how I can give back to. The higher
discount quandary buttes to the peace
00:26:10
this is my lifelong dream. The Japanese
billionaire will orbit the moon aboard the
00:26:15
company's big fell can rock it in twenty
twenty three well the stars were out in
00:26:20
Hollywood last night as they celebrated
television's biggest night the Emmy Awards
00:26:26
A.P. Entertainment editor
Oscar Wells Gabriel has
00:26:29
a wrap up of the key winners and losers
even after taking off the year the best
00:26:34
drama winner is Game of the series has won
another Emmy for Best Drama picking up
00:26:40
where it left off the year before last
the show was not made eligible for last
00:26:44
year's Emmys and it quickly snatched back
the mantle that was won by The Handmaid's
00:26:48
Tale Peter Dinklage picks up his third Emmy
for the show on the comedy side Amazons
00:26:53
the marvelous Miss Mays ill becomes the
first streaming series to win talk show
00:26:57
honors over all the promise of diversity
winning the night ended up being
00:27:00
unfulfilled While the field of nominees was
diverse the list of winners not so much
00:27:06
Gabriel and you've been listening to
international edition you can find us at
00:27:10
V.O.A. News dot com or like
us on Facebook at V.O.A.
00:27:14
Now thanks for joining us and thanks
to our director Patrice Martin and our
00:27:18
engineer Nash one color I'm Jim Birch
held in Washington thanks for listening.
00:28:12
Yeah.
00:28:21
Yeah.
00:28:31
Yeah.
00:28:41
This is
00:28:41
a shocker host of straight talk Africa on
the next straight talk Africa the African
00:28:47
capacity building foundation the Africa
Union's specialized agency for capacity
00:28:53
development as Corden ated programs worth
seven hundred million dollars since one
00:28:58
thousand nine hundred ninety one the African
capacity building foundation on the
00:29:03
next street talk Africa in one of the
day that eighteen to thirty U.T.C.
00:29:07
Right here on Africa.
00:29:19
Good evening everyone I mean on the DO
welcome to health chat the beat and Melinda
00:29:24
Gates Foundation just released its twenty
eighteen goalkeepers report it is an
00:29:30
initiative launched in two thousand and
seventeen to track progress on the
00:29:34
sustainable development goals or as
00:29:37
a collection of seventeen global goes
said by the United Nations Development
00:29:41
Program to be attended by the year twenty
thirteen according to the United Nations
00:29:47
the as. A universal call to action to end
poverty protect the planet and ensure
00:29:54
that all people enjoy peace and prosperity
among other things I spoke to Melinda
00:29:59
Gates co-founder of the Bill and Melinda
Gates Foundation and asked her why it was
00:30:04
important to publish such a
report many in the gates
00:30:08
a welcome to the Voice of America thank you
so much for joining us today thank you
00:30:12
I'm glad to be here the Bill and
Melinda Gates Foundation release
00:30:16
a report the Bill and Melinda Gates two
thousand and eight seen goalkeepers report
00:30:22
it has just been released and it's an
initiative launched in two thousand and
00:30:27
seventeen to track progress on the
sustainable development goals why was it
00:30:32
important to publish such
00:30:33
a report Well these goals that were set by
the member nations of the United Nations
00:30:39
really are a roadmap in
00:30:41
a blueprint for the world on if we make
these investments we can really make
00:30:46
progress as a world but we felt
it was important to publish
00:30:49
a report every year so that we
hold ourselves accountable as
00:30:54
a world to these goals and we can actually
measure year by year is the world making
00:30:59
progress so then what is the value added
of the report as the global community ends
00:31:04
to achieve. Is it to measure essentially
how we making progress. Yes the
00:31:11
report helps us show are we making progress
and it also shines light on countries
00:31:17
that have made certain investments like
Brazil on nutrition or Vietnam on education
00:31:22
to say these are exemplars for the world
they've made incredible progress by the
00:31:27
very specific investments they've made and
these are road maps for other countries
00:31:32
to then follow Now this is the second
publication of the report what did you find
00:31:38
significant this year what were some of the
significant findings one of the biggest
00:31:43
findings that we wanted to highlight that
I think we felt many people didn't know
00:31:48
was how young the population is an Africa
sixty percent of the population is under
00:31:54
the age of twenty five and so if the world
makes the right investments in health
00:32:00
and nutrition and education this is an
amazing generation that has unbelievable
00:32:07
ingenuity and if we make those investments
we give them leadership opportunities to
00:32:12
lift their societies and their countries
up and we want to make sure that message
00:32:17
gets out to the world let's make these
investments so that they can change their
00:32:21
whole country so then clearly investment
is very critical in terms of caring this
00:32:28
young population in the future for
economic growth what are your thoughts the
00:32:33
importance of young people in Africa's
development as we look to achieving the
00:32:38
sustainable development goals Well the
young people often are have the new ideas
00:32:44
they have vibrancy they're
energetic they see things in
00:32:48
a different way and if we make sure that
we give those leaders the opportunities
00:32:53
they will seize them and they will make
sure that things change in their countries
00:32:58
some perfect examples are some of the young
women I'm meeting in the health sector
00:33:03
they're saying we're realizing that if we
give access to contraceptives to young
00:33:09
women that is women who come in who are.
Are sixteen seventeen eighteen years old
00:33:13
and we're not biased about how we treat
them oh my gosh they can space the birth of
00:33:17
their children attend school and stay in
university we know that those investments
00:33:23
and contraceptives that when women have
access around the world it lifts up their
00:33:29
whole family and it lifts up whole economies
and so I am inspired by these young
00:33:33
leaders who say I'm going to work on
taking bias out of the health care system
00:33:37
that's just one example of many and you
mentioned contraceptive it's definitely
00:33:42
part of the big picture as we look
at Family Planning Why is that
00:33:46
a key aspect of development because if you
look at all the economies who have made
00:33:51
the transition from low to middle to
high income countries every one of them
00:33:57
allowed voluntary access to contraceptives
to women because we know if men and
00:34:03
women can spare the birth of their children
and have them if and when they want to
00:34:08
have them there are more opportunities
than for those children and for their
00:34:12
families girls can stay in school they can
get their daughters educated they can
00:34:17
feed their children once they're fed
well fed nourished educated those people
00:34:22
create amazing opportunities in new jobs
in the economy but you can't make that
00:34:28
economic transition without that is one
of the pillars that you have to put in
00:34:33
place is voluntary access to contraceptives
it's not the only but it's one of the
00:34:37
key levers what key states. When
discussing family planning to
00:34:43
adolescent girls of
reproductive age versus
00:34:46
a woman what are some of the strategies
Well first you have to teach
00:34:50
a young woman about her body right about
how her reproductive organs work her
00:34:56
sexuality and then you have to tell her
about methods that might work for her as
00:35:00
a young teenage girl we know
that over the course of
00:35:03
a woman's life what she chooses will be
different at different times based on what
00:35:08
her needs are you also have to take away.
A lot of myths that they've heard and to
00:35:13
counsel them about side effects and where
to go if they're having problems all of
00:35:18
those are important steps but they're
all completely possible we've seen them
00:35:21
country after country and literally if you
start educating women and you give them
00:35:25
access to contraceptives it only takes one
generation till they take them up your
00:35:30
travel to Kenya earlier this year would you
please share with us that experience in
00:35:34
terms of talking to young women and girls
and addressing their needs Well I've
00:35:39
talked to young women and girls all over
Africa for many years and I would say in
00:35:44
Kenya one of the most exciting things I
saw this year were actually to be honest
00:35:47
the governors the young leaders who are
in power now in Kenya those governors are
00:35:52
interested in making the right investments
in their states in Kenya and that
00:35:58
includes investments in nutrition investments
in the doing the right things in
00:36:02
clinics and in immunizations but one of the
most exciting things that they told me
00:36:06
is how interested they are in contraceptives
for young girls and making sure they
00:36:10
have access that was something I had
never heard from the leadership in Kenya
00:36:13
before then when I also met with President
Kenyatta one of his four pillars that
00:36:19
he's putting in place is making sure that
people have great access to health care
00:36:24
so when you see
00:36:25
a government that is making investments in
health and making the right investments
00:36:30
that's the kind of leadership we want to
see all over the world and those are some
00:36:34
of the kinds of things that we highlight
in this goalkeeper's report you are
00:36:38
definitely
00:36:38
a firm believer in empowering women and
girls and we've been following your work
00:36:42
over the years when you look at where we
are now we just talked about access to
00:36:46
contraceptive and family planning what
do you see as some of our other priority
00:36:52
areas in developing countries especially
for going to countries as the world looks
00:36:57
to achieving this in twenty thirty sure
in countries the investments that need to
00:37:03
be made are in health and education
and in the agricultural sector if you
00:37:10
make an. All three of those areas so in
health making sure that number of childhood
00:37:15
deaths go down by vaccinating children
making sure people have access to malaria
00:37:20
bed net making sure they have access
to contraceptives good nutrition and
00:37:24
counseling around nutrition in
education we've made as a world
00:37:29
a commitment in the previous set of goals
to make sure kids had access to school
00:37:34
which they now do so in Rowland's there but
we needed that the quality of education
00:37:39
to come up much like Vietnam has done as
we highlight in the report and in the
00:37:43
agriculture sector we need to make
sure that we help countries move from
00:37:47
subsistence farming to making real
investment so that you can do larger scale
00:37:52
farming so they can feed
themselves and again we give
00:37:55
a great example of that from Ghana in the
report now let's look at poverty I mean
00:38:00
we've been talking about this to some
extent since two thousand more than
00:38:04
a billion people are lifted themselves
out of extreme poverty which is
00:38:09
a great achievement and this is mentioned
in the in the report however the report
00:38:13
also sais adik kids of stunning progress
in the fight against poverty and disease
00:38:17
may be on the verge of starting to what
do you attribute this challenge. Well we
00:38:24
wanted to highlight what we're seeing So
as you said this incredible reduction in
00:38:29
poverty incredible but what we don't
want the world to assume is that it's
00:38:34
inevitable it is because of investments
the world to made systematically in human
00:38:40
capital in health in education in agriculture
when those systematic investments are
00:38:46
made you see this enormous reduction in
poverty and life gets better it improves
00:38:51
for people around the world but converse
Leigh if you don't make those investments
00:38:55
if you don't continue to
make those investments
00:38:58
a lot of the gains that we've seen
can drop back particularly with
00:39:01
a growing population and so our message
is to the world is keep your foot on the
00:39:06
gas keep the accelerator going we need
to keep making these investments both we
00:39:11
need high income countries to make the
continued investments in things like the
00:39:15
Global Fund and we need low and middle
income countries to keep making the
00:39:19
investments in their own country and the
new measure measure with great data
00:39:23
because that's how we learn you talked
about investment in the Bill and Melinda
00:39:28
Gates Foundation has invested more than
fifteen billion dollars in projects
00:39:32
relevant to Africa Why is Africa such
an important part of your work we
00:39:36
fundamentally believe as
00:39:38
a foundation and Bill and I that all lives
all lives have equal value no matter
00:39:43
where their lives on the planet yet when
you see some of the people who are in
00:39:47
extreme poverty or extreme situation where
many many infants are dying or mothers
00:39:53
are dying in childbirth you see
00:39:55
a lot of that predominantly
in countries in Africa and
00:39:59
a couple of states in northern India
and so we call out Africa and we make
00:40:04
substantial investments in Africa because
we think life can improve there in the
00:40:09
ways that it has in other places in the
world like South Korea that used to be
00:40:13
a low income country that no longer is
the other thing I want to say about our
00:40:18
investments while they look at streaming
a large fifteen billion dollars is
00:40:21
a large number with you look at
what. We're trying to tackle as
00:40:25
a foundation it takes immense partnership
around the world many many many partners
00:40:31
doing the work on the ground in culturally
can textually sensitised ways and
00:40:37
governments governments Gaylene these
projects up so that everyone can have those
00:40:42
benefits so our foundation is what we call
00:40:45
a catalytic wedge we start getting those
things going we show Points of Light ways
00:40:50
of making change we take some risks but
ultimately it's the governments who scale
00:40:56
them up and that work is done in deep
partnership with many people around the globe
00:41:00
and what should we look forward to in terms
of future and vest and priorities Well
00:41:04
I think for us as
00:41:05
a foundation we will always be focused on
the things we're focused on now that is
00:41:10
health agriculture and we're doing
00:41:12
a bit of international education quality
international education around the world
00:41:16
what I think you can see for us
though while we've always had
00:41:19
a science and technology focus because Bill
and I believe fundamentally innovations
00:41:24
that change the world you've seen us move
more towards how do we deliver those
00:41:28
great advances in the last few years we've
gotten much more focused on delivery and
00:41:33
I think you're now also seeing us talking
00:41:34
a lot more about women's empowerment because
if we want to get enormous gains in
00:41:39
the world we need to pull all three
levels the science and technology get it
00:41:44
delivered and then we've got to get it in
the hands of women because women so often
00:41:49
are at the center of the family and are
the ones who are making those investments
00:41:53
in their family and so you'll see us doing
even more in women's empowerment because
00:41:58
that will lift up the whole world amending
the gates and thank you so much for your
00:42:02
time today thank you Lenore. And that was
made in that Gates co-founder of the bill
00:42:08
admitting their Gates Foundation
Well it's now time to take
00:42:11
a short break and when
we come back we'll have
00:42:14
a live discussion on the unsafe surgeries
which is very critical in health care
00:42:20
delivery but first a quick roundup
of the latest health news we've come
00:42:25
a lot Tom. The
00:42:32
latest child mortality
report released today shows
00:42:35
a steady reduction in child mortality in
Nigeria continued in two thousand and
00:42:39
seventeen according to the new mortality
estimates released by UNICEF the World
00:42:44
Health Organization the United Nations'
population division and the World Bank
00:42:48
Group under five mortality rate in Nigeria
reduced from one hundred three point
00:42:52
eight in two thousand and sixteen to one
hundred point two deaths per one thousand
00:42:57
live births Furthermore That's how mortality
rates fell from thirty three point
00:43:02
five to thirty two point nine how mortality
rate refers to the probability of dying
00:43:08
between birth and twenty eight days of age
expressed per one thousand live births
00:43:13
the latest levels and trends in child
mortality Report two thousand and eighteen
00:43:17
from UNICEF and partners in the UN interagency
group for child mortality estimation
00:43:22
shows the full scope of child in mortality
rates across the world from newborns to
00:43:26
adolescents Botswana leaders made
00:43:28
a call for urgent action on non-communicable
diseases or in C.D.'s in the African
00:43:33
region Monday at
00:43:34
a landmark forum held and. The call
comes as the world prepares for
00:43:38
a high level meeting on in C.D.'s at the
UN General Assembly in New York which will
00:43:43
take place at the end of September two
thousand and eighteen in C.D.'s our group of
00:43:47
chronic health conditions that include
cardiovascular diseases cancers mental
00:43:52
disorders and diabetes they are now the
leading killers on the planet causing seven
00:43:56
in ten best globally the major causes are
avoidable risk factors like tobacco use
00:44:02
harmful alcohol consumption physical and
that. City and healthy diets in Africa
00:44:07
countries are seeing
00:44:07
a rapid rise in CD cases some Bob boy is
struggling with this debt outbreak of
00:44:13
cholera and decade which has killed at least
twenty eight people and emergency has
00:44:18
been the clear and public gatherings banned
in the capital Harare an outbreak of
00:44:22
the waterborne disease was confirmed by
authorities in early September killing five
00:44:27
people and infecting dozens more within
weeks the death toll had risen to twenty
00:44:31
eight with more than five thousand reported
cases of infection the World Health
00:44:35
Organization and the Red Cross are ramping
up their emergency response national and
00:44:40
local politicians are trading blame over
00:44:42
a failure to maintain safe water supplies
and maintain infrastructure and that's
00:44:47
a wrap up of the latest news.
00:44:55
Welcome back for those of you joining us
late tonight we will be talking now in the
00:45:01
second half of the program we will turn
to sort of surgery every year millions of
00:45:08
people undergo surgical treatment and
while surgical procedures are intended to
00:45:13
save lives and save surgical care can
cause substantial harm the World Health
00:45:18
Organization says complications after
in-patient operations or cooler in up to
00:45:23
twenty five percent of patients and
multi-tiered from general anesthesia alone is
00:45:29
reported to be as high as one in one
hundred fifty in some parts of sub-Saharan
00:45:36
Africa well to discuss this we are joined
via phone from Baltimore Maryland by
00:45:43
Dr Jones around oh he's a
global surgery director J.P.
00:45:49
I go global health nonprofit organization
and Dr Varada Welcome to the show I thank
00:45:56
you and thank you for having us on your
show fantastic We're also joined by Dr
00:46:00
Augustine O'Hara director of the
safe surgery pro. With J.P.
00:46:05
Growth on Sanya duck to head out thank you
so much for joining us I think you so
00:46:10
that both of you got together joining us
from Baltimore and listen this surgery is
00:46:16
a topic that is so critical however
there seems not to have enough coverage
00:46:23
to my experience so let me start with
you Dr Varadero would you describe for
00:46:30
us the rule burden of surgical care
to what extent is the problem.
00:46:39
It is
00:46:40
a very important issue and to start when
we talk about surgical care we need to
00:46:45
acknowledge that it's an absolutely
essential component of health care and as
00:46:51
you're alluding to I think it's that important
to do tend to be underestimated even
00:46:57
within the global health community to put
that in perspective you know globally
00:47:02
five billion people five billion people
lack access to safe surgical care and if we
00:47:09
look at the You compared to other health
conditions for example more lives
00:47:16
are lost from from treatable
surgical conditions then from HIV
00:47:22
malaria and TB combined in factors eighteen
million lives are lost due to lack of
00:47:27
access to safe surgical care that's
five times more than the malaria and TB
00:47:33
combined and he when we start looking
at this what you know underlines these
00:47:39
numbers are also. Equity gaps if
we look at you know globally that
00:47:46
the burden of this lack of access falls
more heavily on certain countries such as
00:47:53
in the Sub-Saharan Africa Southeast Asia
and parts of Latin American Caribbean and
00:47:58
you see this inequity even within countries
you looking at certain populations that
00:48:03
really lack. Access to it such as
rural versus urban populations and
00:48:10
you know that really. Drives
I drive that inequity.
00:48:18
Really I mean to think about it it's
incredible to know that so many people died
00:48:24
die of it but. You know we don't
talk much about. Dr Heather let me
00:48:31
ask you this Dr. Mention five billion people
surgical care how does this translate
00:48:38
into. Describes the situation in.
00:48:45
The situation in Tanzania is. Just
like what Dr but I was just mentioned.
00:48:53
So in the regions where
we were. We have. Very
00:48:59
few specialists for providing such
00:49:04
a care so we went into regions in Tanzania
called country or in my our intellects
00:49:10
one of the underneath and in these regions
we have only one. Tragic or specialist
00:49:17
for population of about three million people
and then also about three O.B.-G.Y.N.
00:49:23
Is for police for example pollution and no
anesthesiologists so simply there are no
00:49:29
enough specialists to provide
services. And the number of
00:49:36
the number one procedure that is being done
in these facilities he's very inception
00:49:42
so. What we're doing now he's to train
one specialist to be able to provide.
00:49:50
Skilled safe fragile care for for the
populations in these areas Wow that's
00:49:55
incredible doctor although
when you had such
00:49:57
a sick instance and you want specialists
for so many people would you say that the
00:50:03
fundamental issue here is lack of specialist
lack of expertise when it comes to low
00:50:10
and middle income country countries or
does it depend on each country or each
00:50:15
region Well you know I do think it
depends on the different context but we
00:50:22
do know that the lack of. The workforce
lack of skills in the workforce is an issue
00:50:29
but it doesn't mean that it has to be
00:50:31
a specialist and so that's what we're
focusing on in Tanzania and Kenya and also
00:50:36
many of our countries is building the
skills of these non-specialist And if these
00:50:40
non-specialists teams. Our we build the
their skills or knowledge to the point
00:50:47
where they're competent and confident and
able to provide the services then you're
00:50:52
you're building that access the other
issue also is it is not just around human
00:50:57
resources but ensuring that the that the
facility the infrastructure is there the.
00:51:04
Equipment the supplies the oxygen water new
blood all those things honey go hand in
00:51:09
hand so that the hell are you mention
that in one of these areas there is no.
00:51:17
Dentist does not exist
so how do you handle
00:51:19
a situation like this. Yes So we're building
the capacity of these teams to be able
00:51:25
to. Provide safe touch with his
fist by training them whipping them
00:51:32
on leadership sheep skills that help them
to identify some challenges that they
00:51:38
face on the day to day. Basis.
Then put up action plans
00:51:44
so some of these challenges but we're
also pairing them to mentors from
00:51:50
a local referrals or the
hospital and these.
00:51:56
Mentors can help them. Work with them
to solve the challenges but also for
00:52:04
work with them to do cycle procedures
meaning that to build their confidence in
00:52:09
providing safe surgery and with
less complications. Now that the.
00:52:16
Doctor had are mentioned earlier that many
many of the patients who need well the
00:52:22
number one surgery is being provided
these kids are in fiction so
00:52:29
how woman being affected
by these very need to
00:52:36
access to the surgery. A great point
because we were talking about those
00:52:42
numbers we also see that there's
00:52:44
a. Gender gap as well and if we
look at globally you know which
00:52:52
if you timely access to you say
to their infection can prevent
00:52:59
nearly one hundred thousand maternal deaths
each year can reduce newborns as five
00:53:04
thirty to seventy percent and so to
privatise approach is that beyond just
00:53:09
providing the routine maternal
00:53:12
a newborn health services we want to
make sure that we're also including the
00:53:16
surgical component because without that
then you're not really going to have as
00:53:20
much of an impact on improving maternal
00:53:24
a newborn health and look ahead are
intent on yet then what are. The
00:53:30
steps I know you talked about
capacity building this is also
00:53:35
a problem of the health care system as
00:53:37
a whole so what what is being
done in that regard. So
00:53:45
as the mission level we are supporting
the government of Tanzania to. Develop
00:53:51
admission or we have supported them to
develop initial strategy school of sitting
00:53:56
in a city a plan that he's like
00:53:58
a road map for strengthening technical
services such as Phil says in
00:54:04
a few senses in the country in general
but then we're also working at
00:54:09
a facility level in these two
regions where as a seed we train
00:54:13
a practical teams to empower them to be
able to talk the challenges but we also
00:54:19
giving them clinical skills. In the fiction
prevention skills so that the surgeries
00:54:25
they do have less complications and they
can provide more access to said Jerry to
00:54:31
the communities around them. Not the how
to access to safe surgery access to
00:54:36
Surgeon General. Yes the problem in the
developing world in the developed world is
00:54:43
some people will say well argue that the
cost of surgery is a problem so if it is
00:54:49
a problem in countries where people have
the means to have surgeries What about in
00:54:54
the developing world in
00:54:55
a place like Tanzania are the countries
what is your take on the cost of surgery.
00:55:02
And that's another shocking other great
point and when we talk about access we can
00:55:05
talk about whether it's just the
physical location so distance to
00:55:11
a facility having the qualified provider
and the infrastructure as you mentioned
00:55:16
but also the cost and so that can be
00:55:19
a real barrier especially with you talking
about where the access is only in the
00:55:24
private sector so Thursday that's where we
really have this push for the universal
00:55:28
health coverage because you know if
you if it's too costly that we can
00:55:35
that it prevents that access and the the
choice for the family is to decide whether
00:55:40
either to forego. The services
or to go into extreme
00:55:47
debt so that is that is a
00:55:50
a really high top priority for us is to
guarantee universal health coverage to so
00:55:56
that people don't need to make that
decision and that they don't have that they
00:55:59
aren't. But when debt go into poverty
just by having this basic service
00:56:07
and then quickly before we wrap it up of
our own. Well how would you make the case
00:56:13
for the surgery I mean when you look at
the Senate bill Development Goals and all
00:56:17
the issue on the agenda I think that in
general when we want to advance global
00:56:22
health there's surgery again as I mentioned
that doesn't seem to get much attention
00:56:28
how do we make
00:56:28
a case but we make the case by Safari
pointing out the importance of surgical
00:56:35
care that it's not a luxury that it is
00:56:38
a absolutely essential and individual
component of health care and that by making
00:56:44
the investment actually you if you look at
the investments needed for safe surgery
00:56:49
that you have a return on that
investment and so it's actually
00:56:55
a wise investment for four countries and
so we we can look at from from that sample
00:57:01
. As well as
00:57:02
a human rights standpoint so I think that's
where we need to really kind of drive
00:57:06
the message and to head out the final
was. About perhaps some positive
00:57:13
outcome you've seen since you've been
working on this so we decided to implement
00:57:20
these programs earlier this year and already
seen eighty five. Days actually seems
00:57:26
that you're training has more on the way
and communications they've developed
00:57:32
action plan was to solve many of the
challenges they face like the one to increase
00:57:38
as you call volumes in the facilities we
want to reduce complication rates we want
00:57:43
to use waiting times for patients but they
also using traditional surgical safety
00:57:50
cheerfully which is
00:57:50
a simple tool to change safety you know
to communication is indispensable to our
00:57:57
identity and we have to leave it there
thank you so much Dr August you know Helen
00:58:00
and Dr Jennifer Caudle for joining us today
thank you know thank you and we also
00:58:06
thank the gates
00:58:07
a co-founder of the Bill and Melinda Gates
foundation for talking to health chats
00:58:12
this thanks to all of you for joining
us and thanks to all our T.V.
00:58:15
It's
00:58:15
a caring health desk I'm your host you know
I'm with you in Washington with producer
00:58:19
. Tom with the news and engineer afraid
until next time take care be well and
00:58:26
strive to make every day
00:58:28
a healthy day. This
00:59:12
is the way news I'm Tommy McNeil rushes the
fence ministry says hostile actions by
00:59:18
Israeli fighter jet pilots led to
Syrian air defense system shooting down
00:59:23
a Russian military reconnaissance plane
killing fifteen people aboard now as E.P.
00:59:28
Correspondent Charles de Ledesma reports
experts will be looking to see there has
00:59:32
been
00:59:33
a current breakdown of communication between
Russia and Israel over the Syrian air
00:59:37
space Russian state television has quoted
00:59:39
a leading official saying Israel is fully
to blame for the deaths Moscow claims
00:59:44
Israel didn't warn it of its operation until
an minutes before the strike which did
00:59:48
not give the Russian planes
enough time to escape
00:59:51
a recovery operation is now underway in
the Mediterranean Sea to retrieve bodies
00:59:55
and fragments of the wreckage from the L
one twenty at Croft for several years
00:59:59
Israel and Russia have maintained
01:00:01
a special hotline to prevent that Ethel's
is them clashing in the skies over Syria
01:00:06
Israeli military officials had previously
praised its effectiveness I'm jealous of
01:00:10
it as my china is responding to U.S.
01:00:12
President Donald Trump's plans to impose
an additional two hundred billion dollars
01:00:17
worth of tariffs on Chinese
imports we think. What the U.S.
01:00:21
Is doing right now on these economic
madness mats Harbor on the president of
01:00:26
European Union Chamber of Commerce in
China says this is not going to help deal
01:00:30
with the problems the new duties which
take effect next Monday September twenty
01:00:35
fourth will begin at ten percent then
rise to twenty five percent in January of
01:00:40
next year the terrorist will be unposed
on thousands of consumer goods including
01:00:44
electronics food tools and housewares
President Trump has ordered the Justice
01:00:50
Department to declassify
01:00:51
a trove of documents related to the
investigation into Russian election meddling
01:00:56
White House spokeswoman Sara sander says
the information to be made public includes
01:01:00
F.B.I. Surveillance warrants of
former Trump campaign advisors and
01:01:05
a high ranking official at the U.S.
01:01:07
Department of Justice this is viewing news.
Tens of thousands of North Koreans did
01:01:13
unification and wait flowers at their leader
Kim Jong un and South Korean president
01:01:19
moon J N N A parade through
Pyongyang says as a to kick off
01:01:23
a summit aimed at rekindling stalled
nuclear diplomacy Reuters Grace Lee.
01:01:30
The Leader.
00:00:00
Missing to take
countermeasures against U.S.
00:00:02
President Donald Trump's plans to impose
an additional two hundred billion dollars
00:00:06
with the tariffs on Chinese imports we're
going to pressure China into substantial
00:00:10
change changes will have to come because
they are seen as being good for the
00:00:14
development of the Chinese economy and
that's mats the president of European Union
00:00:18
Chamber of Commerce in China the new duties
which take effect next Monday September
00:00:22
twenty fourth will begin at ten percent and
rise to twenty five percent in January
00:00:27
of next year the terrorists will be on
posed on that thousands of consumer goods
00:00:31
including electronics food tools and
housewares and the leaders of North and South
00:00:37
Korea have begun the first of three days
of negotiations in Pyongyang aimed at
00:00:41
reaching an eventual agreement on the nuclear
reservation The Big Question at this
00:00:45
summit is whether or not Jim is serious
about denuclearization and it may set the
00:00:51
stage for a second summit with U.S.
00:00:53
President Donald Trump according to Moon's
aides Trump has asked the South Korean
00:00:57
president to be chief negotiator between
himself and Kim after canceling
00:01:02
a trip to Pyongyang by
Secretary of State my pump a
00:01:05
a last month that's Reuters Grace
Lee reporting and this is below
00:01:09
a news. The Senate Judiciary Committee will
hold public hearings next week to hear
00:01:15
from U.S.
00:01:15
Supreme Court nominee Brett Kavanaugh and
the woman who's accused him of assaulting
00:01:20
her three decades ago while the two
were in high school but as A.P.
00:01:23
Washington correspondent soccer Madonna
reports President Trump is standing by his
00:01:27
Supreme Court nominee just days ago
Kavanagh's confirmation appeared all but
00:01:32
certain there is some doubt now that the
president's ruling out with drawing the
00:01:36
judge's name next question What
00:01:38
a ridiculous question he's still baccy
Cavanaugh's character one of the finest
00:01:43
people that I have a note of but in
00:01:44
a sign of just how politically perilous
the Kavanaugh allegation is in the ME to
00:01:49
age the president's defense is somewhat
muted say he wants the Senate to go through
00:01:54
a complete process and here everybody out
before eventually confirming his second
00:01:59
High Court pick as it takes
a little delay will take
00:02:02
a lot of the lead solder Megali at the White
House President Trump has ordered the
00:02:06
Justice Department to declassify documents
related to the investigation into
00:02:10
Russian election meddling White House
spokeswoman Sara Sanders says the information
00:02:14
to be made public includes F.B.I.
00:02:16
Surveillance warrants of a former Trump
campaign advisor and reports of F.B.I.
00:02:21
Interviews with a high
ranking official at the U.S.
00:02:23
Justice Department Mr Trump has
consistently said some of the F.B.I.
00:02:27
And Justice Department reports are
biased and tainting the independent
00:02:31
investigation into whether his campaign
collaborated with Russia to swing the two
00:02:36
thousand and sixteen election in his favor
an Iranian government aligned group of
00:02:40
hackers launched a major
campaign targeting
00:02:43
a Mideast energy firms
and others ahead of U.S.
00:02:46
Sanctions on Iran that's according to
00:02:48
a cyber security firm it says
while the firm Fire Ice says
00:02:52
a so-called spearfishing e-mail campaign
only involves hackers stealing information
00:02:56
from infected computers
but it also involves
00:02:59
a similar type of malware
previously used to inject
00:03:02
a program that destroyed tens of thousands
of terminals in Saudi Arabia the
00:03:07
divisions between member states threaten
to derail European Union so. Migration
00:03:12
scheduled Wednesday in the Austrian city
of Salzburg in Ridgwell reports reveal way
00:03:17
even within Europe's political alliances
on the right and left there are growing
00:03:23
divisions over Migration says analyst
Leopold Traugott of policy analysts group
00:03:28
Open Europe the summit will most likely
again be portrayed as the the battle
00:03:33
between on the one had the progressives
want to keep you up open want to continue
00:03:37
to help asylum seekers on the other hand
the hardliners the populists who want to
00:03:40
close you up down and create
00:03:42
a fortress you up but again the division
isn't that clear cut at London's
00:03:46
insistence Britain's exit from the European
Union just six months away will also be
00:03:52
discussed in Ridgwell reporting for really
News I'm Tommy McNeill the way news.
00:04:16
Today is Tuesday September eighteenth
twenty eighteen and this is being
00:04:21
a ways international edition I'm Jim Birch
hell for Sarah Williams in Washington
00:04:26
coming up Russia is blaming
Israel for the loss of
00:04:29
a military plane off Syria to
secure external borders. Frontline
00:04:36
countries of the European Union need our
support the new dollar solidarity but on
00:04:41
the other hand they also have to accept
to support them to help of the European
00:04:47
Union the European Union prepares for
00:04:49
a migration summit on Wednesday Also ahead
rescuing the four legged victims of
00:04:54
Hurricane Florence It's all coming up on
today's international edition. Russia says
00:05:00
should Syria shot down one of its military
planes but lays the blame for the deaths
00:05:05
of the fifteen people on
board with Israel A.P.
00:05:09
Correspondent Charles Dillard ESMA reports
the Russian defense ministry says the
00:05:13
act was brought down by
00:05:15
a Syrian missile over the Mediterranean
killing all fifteen people on board Moscow
00:05:20
blames Israel for the crash saying the plane
was caught in the crossfire as Fall is
00:05:24
ready fighters attacked targets in northwestern
Syria and official says the Israeli
00:05:29
pilots had been using
the Russian aircraft as
00:05:32
a shield and had pushed it into the line
of fire of the Syrian defense both the
00:05:37
Israeli military and Israel's foreign
ministry declining to comment on the Russian
00:05:41
account of what took place in the skies
over northwestern Syria on Monday I'm
00:05:46
jealous of that as well Meanwhile Russian
and Turkey have agreed to create
00:05:50
a new demilitarized zone separating pro
Syrian government and opposition forces for
00:05:56
control of Northwest in lip province
bordering Turkey it forestalls for now
00:06:01
a planned Russian backed assault on the
last major rebel stronghold in Syria that
00:06:05
is opposed by Turkey Russian President
Vladimir Putin said in his talks with his
00:06:11
Turkish counterpart Recep
Tayyip everyone it was agreed
00:06:14
a contact line would be created by October
fifteenth facilitating the withdrawal of
00:06:19
what he called radically minded militants
alum PIAA and directs the Middle East
00:06:24
Studies Center at the Ohio State University
he told be always Victor Beattie this
00:06:30
third meeting between the two leaders is
a direct result of the Russian sponsored
00:06:34
a stun your process named after the cause
00:06:37
a capital where Moscow has hosted Syrian
peace talks. So apparently is what Turkey
00:06:43
and Russia have decided that they should
read no assault on ad lib because the
00:06:49
United Nations the United States and many
other Europeans and Muslim countries have
00:06:54
protested that that that would be human
when it got in disaster because in the end
00:06:59
it lived that are not only some tentative
groups like the last and others active
00:07:03
but it's about three million civilians that
are living there so that would bitterly
00:07:09
and this is one reason why Turkey was against
that this assault from the beginning
00:07:13
and Iranians Iran and Russia which is
supporting the Bashar al Assad government and
00:07:18
they were keen to probably make this attack
and then finally to move the terrorists
00:07:23
from that area but finally they have learned
that it's not that easy there would be
00:07:27
a large number of the civilian casualties
so probably they have come to their
00:07:31
senses and now they have decided though
there would be about fifteen to twenty
00:07:35
kilometer away from the city so that that
would diminish what I saw on and that dim
00:07:40
a televised on would be will probably somehow
protected by Turkish and by the Sion
00:07:45
forces there is one thing that we did not
see in the news that is nothing about
00:07:49
Iran that what the Iranian supporting forces
would be doing and so they've totally
00:07:54
host it marginalized it on here and it
was probably deliberate in the part of
00:07:59
Turkey and Syria that Iran is not
00:08:01
a party to this somehow to keep reason iron
quiet and Americans quite so maybe that
00:08:06
was the reason that they just got not
mentioning much about it on need the Russian
00:08:10
President Putin nor Turkey's leader there
to want explained how they plan to
00:08:16
differentiate quote unquote radically minded
rebels from other anti outside groups
00:08:21
in lib Yes The problem is that in Atlanta
and as in many other cities so it is not
00:08:27
only that radical groups such as ISIS the
Eleanor there are civilians and there
00:08:34
are many other former military officers who
are against the Bashar al Assad regime
00:08:38
so they're not a position that is
00:08:39
a Free Syrian Army. There are some critics
groups that were also opposing the
00:08:44
shuttle sub government so it's not only
that the terrorists are in control of adlib
00:08:49
there are many other groups so who are
opposing the Bashar al Assad government and
00:08:54
so so for that reason that
thinking that it would be but
00:08:56
a hand to hand combat if they would go
in and that would probably it is altered
00:09:00
a very large number of civilian casualties
but by the way we have to keep things in
00:09:04
perspective of almost
00:09:06
a twenty four hour print do five million
Syrian estimated Syrian population five
00:09:11
million of them have become refrigerators
outside Syria and six million are
00:09:15
internally displaced and about half
00:09:17
a million Syrians have been killed since
two thousand and eleven will it liberal
00:09:22
main outside of Syria or will eventually
be brought into the Syrian fold but that's
00:09:28
what the city is counting on
time however Mustafa said Hari
00:09:32
a member of the rebel Free Syrian Army told
Reuters Tuesday the Russia Turkey deal
00:09:38
ens President Bashar al Assad's hope of
regaining full control of the lip he said
00:09:43
it will provide a springboard for
00:09:45
a political transition that will end
the Syrian leaders authoritarian rule.
00:09:53
Among the top stories in the world the most
powerful tropical storm of the year to
00:09:58
date left
00:09:58
a swath of possibly long term damage after
killing more than sixty people in the
00:10:03
Philippines and another four in China
thousands of parents are withdrawing their
00:10:08
children from schools in the English
speaking regions of Cameroon after armed men
00:10:12
attacked and wounded dozens of
people Iranian media is reporting
00:10:16
a bus collided with
00:10:17
a tanker in central Iran killing at least
twenty one people and injuring nearly two
00:10:22
dozen others UN investigators accuse the
ME and Maher military of committing the
00:10:27
most serious crimes under international law
expanded coverage of these stories and
00:10:32
more are on the V.O.A. News dot
com website and on our V.O.A.
00:10:36
Mobile app this is international
edition. This is.
00:10:47
As
00:10:47
a team of astronomers were looking beyond
Pluto for the mysterious planet nine they
00:10:51
wound up discovering
00:10:52
a dozen new moons orbiting Jupiter the
astronomers call the eleven of them normal
00:10:58
outer moons but there is also one they
label as an oddball the oddball move has
00:11:03
a pro-grade orbit which means it circles
the planet in the same direction but
00:11:08
unlike Jupiter's other pro-grade moons
the New Moon's orbit crosses the path of
00:11:12
others orbiting and retrograde shortly
opposite direction setting up the
00:11:17
possibility of
00:11:18
a collision team leader Scott Sheppard
from the Carnegie Institution for science
00:11:23
calls the oddball orbit and
unstable situation and that
00:11:26
a head on collision would quickly break the
objects apart and grind them down into
00:11:31
dust the sky every of the twelve objects
brings the total of known Jovian moons to
00:11:36
seventy nine I'm Vio always
Rick Perry until A.O.
00:11:40
. This is video ways
00:11:46
international edition South Korean president
in is in Kyung young for the first of
00:11:52
three days of negotiate. And with North
Korean leader Kim Jong un the always Steve
00:11:57
Miller is covering the summit from Seoul
he tells us about the arrival reception at
00:12:02
the airport it was actually
00:12:03
a pretty interesting sun to be seen so at
that seeing airport tarmac was laid out
00:12:10
with
00:12:10
a red carpet and surrounding the
red carpet were air naval and army
00:12:17
forces from the Korean People's
Army and then also there was
00:12:21
a huge military band there and then also
on the periphery there were several North
00:12:27
Koreans standing there the men were wearing
pressed black suits and the women were
00:12:32
wearing traditional clothes called mbox
some were carrying flowers or carrying the
00:12:38
North Korean flag and some were actually
carrying the unified Korean peninsula flag
00:12:43
first saw during the twenty John Winter
Olympics when President Moon's plane landed
00:12:49
taxi to around and then about
ten am The doors open prior to
00:12:56
that it was dead silence on the tarmac and
then the military band played and that's
00:13:01
when Kim Jong un and his wife who
sold through the departure gates
00:13:08
and walked out on that red carpet and
waited for can. President Moon and his wife
00:13:15
to descend the staircase where they met
with hugs and handshakes what do we know
00:13:20
about the first day of talks with the
schedule was really jam packed so following
00:13:25
that welcome ceremony at the airport and
separate luncheons at the guesthouse. Then
00:13:31
kind of split apart and started their
Korean summit so President moon and North
00:13:37
Korean leader Kim Jong
un started their summit
00:13:39
a little bit later than expected with
00:13:41
a post or three thirty third fifteen minutes
late you know they actually had held
00:13:46
in the headquarters of the Central Committee
for the North Korean Workers Party who
00:13:50
were Kim's offices and the two Korean
leaders. Began their session Kim Jong un
00:13:55
thank President them for his efforts to
improve Korean relations and the South
00:13:59
Korean leader also think its
counterpart for a decision to open
00:14:04
a new era of peace on the peninsula Now
while that meeting was taken place the
00:14:11
wives. Actually had their own mini summit
their own day away they went to well Q
00:14:17
Children's Hospital and then on to the Kim
Wong University of music because they
00:14:24
both have a music background and they
were accompanied by a composer and
00:14:27
a couple of key pop singers on their trip
when the did nuclearization of the Korean
00:14:31
Peninsula is one of the key topics at the
summit as the South Korean delegation
00:14:36
discussed any progress on the issue now
that's one thing that really hasn't been
00:14:40
forthcoming from the reports from the
summit and not clear whether that would be
00:14:45
with one more round of talks scheduled
for tomorrow during Tuesday's afternoon
00:14:50
press briefing the press secretary for the
president said crack how much progress
00:14:55
would actually be made on the nuclearization
talks and that it was necessary to
00:15:00
wait until Wednesday's talks
concluded and if there would be
00:15:05
a joint press statement made in the
afternoon to announce any kind of agreement
00:15:10
that would be made but if there are any
agreements made it's also unclear how much
00:15:16
detail we would get because we were
informed that present moon J.N.
00:15:20
Would speak directly to U.S. President
Donald Trump on the sidelines of the U.N.
00:15:24
General Assembly to relay any kind of
concessions or any kind of information that
00:15:30
would make as a result of this summit
Well Steve Miller you've been doing
00:15:34
a great job covering the summit for
00:15:36
a symbolic four talking to you tomorrow
Steve Miller in Seoul thanks so much my
00:15:41
pleasure elsewhere in Asia President Trump
impose tariffs on an additional two
00:15:46
hundred billion dollars worth of
Chinese goods coming into the U.S.
00:15:50
Continuing an ongoing trade war between
the two countries China says it has no
00:15:54
choice but to retaliate A.P.
00:15:56
Correspondent Julie Walker reports in the
latest trade war to for tat China says it
00:16:01
will swiftly retaliate against American
exports a move that stands to hurt U.S.
00:16:06
Farmers another U.S.
00:16:07
Company selling products to China this
after the top administration said. Will
00:16:12
begin taxing two hundred billion in Chinese
goods Starting Monday the target list
00:16:17
is huge ranging from purses to retain mats
to burglar alarms to bicycles Trump says
00:16:23
the tariffs are designed
to force China to change
00:16:25
a range of unfair trade practices the two
countries already had import taxes on
00:16:30
fifty billion worth of each other's
products I'm Julie Walker in Europe deep
00:16:35
divisions between member states threaten
to derail the European Union summit on
00:16:39
migration scheduled for Wednesday in the
Austrian city of Salzburg we get the story
00:16:44
from Henry Ridgwell in London.
00:16:53
Sixty African migrants were plucked from
the Mediterranean moments before their
00:16:58
inflatable boat sank beneath the waves in
00:17:01
a perilous rescue Saturday by Spanish
authorities it is the latest of dozens of
00:17:07
such operations this year on the so-called
western Mediterranean route which now
00:17:12
accounts for more than half of all illegal
crossings into the European Union most
00:17:17
of the migrants are from Guinea Mali and
Morocco overall migrant numbers into
00:17:23
Europe are down forty percent year on year
but migration continues to dominate E.U.
00:17:30
Policy debate visiting Paris before
Wednesday's Salzburg summit host Austrian
00:17:36
Chancellor Sebastian curds Monday called
for an enhanced role for the E.U.
00:17:41
Border agency Frontex across the blocks
external frontiers to secure external
00:17:48
borders the front line countries of the
European Union need our support the new
00:17:53
dollar solidarity but on the other hand
they also have to accept to support them to
00:17:59
help of the European Union that was
00:18:02
a thinly veiled message for frontline
states including Italy and Hungary whose
00:18:08
governments have repeatedly blamed the
European Union for them. Migrant crisis
00:18:13
speaking to lawmakers Monday Hungary's
prime minister Viktor Orban offered
00:18:18
a blunt response has your bunny
of doing mean to buy. He says
00:18:25
Hungary is better
00:18:26
a border protection than anyone else in
Brussels or some international organization
00:18:31
therefore Hungary will not give up the
rights to protect its borders even within
00:18:37
Europe's political alliances on the right
and left there are growing divisions over
00:18:42
Migration says analyst Leopold trial gods
of policy analyst group Open Europe the
00:18:48
summit will most likely again be portrayed
the battle between on the one had the
00:18:52
progressives want to keep you up open want
to continue to help asylum seekers on
00:18:57
the other hand the hardliners the populists
who want to close your up down and
00:19:00
create
00:19:01
a fortress Europe but again division isn't
that clear cut at London's insistence
00:19:06
Britain's exit from the European Union just
six months away will also be discussed
00:19:12
the International Monetary Fund warned
Monday that failure to strike an exit deal
00:19:17
would entailed in its words substantial
costs for Britain's economy Henry which
00:19:22
will give you a news London visit V.O.A.
00:19:25
News dot com for more on this and all of
today's latest news I'm Jim Breuer Tel and
00:19:31
you're listening to international
edition on veal way.
00:19:38
You love music how about Shelton Carrie
Underwood and Merle Haggard in the Ritalin
00:19:43
experience the best in country music
and country hits USA I bring you some
00:19:48
countries rock out
00:19:50
a little hillbilly contemporary more with
the death of entertainment news doing so
00:19:55
join me for country hits USA on
dealing with the Voice of America.
00:20:07
Take your pick what's on television logon
to look Internet listen right. On the
00:20:13
radio below I am sure you host those to
talk Africa from the Voice of America each
00:20:18
one is then I will put you in touch with
newsmakers explodes as the UN talk about
00:20:24
the most important social and political
issues in Africa say I'll be waiting for
00:20:30
your corner Wednesday night straight
talk Africa from the Voice of America.
00:20:41
And this is an international edition the
remnants of Hurricane Florence that struck
00:20:46
the southeastern U.S.
00:20:48
Is now soaking areas in the northeast
with heavy rain as forecasters warn of
00:20:52
widespread flooding threats the latest
warnings accompany the flooding in North
00:20:56
Carolina where Florence hit as
00:20:58
a Category one hurricane last week and
dropped up to ninety centimeters of rain as
00:21:03
it lingered for several days at least
thirty two deaths are blamed on the storm
00:21:08
people aren't the only ones suffering
from the storm many household pets were
00:21:12
trapped in crumbling shelters now volunteers
and donations have begun pouring in
00:21:17
for them
00:21:18
a rush are both soggy reports from North
Carolina. Dry Goods and other pet supplies
00:21:25
are just some of the donations pouring
in from people who want to help dogs and
00:21:28
cats in rural parts of North Carolina since
Hurricane Florence covered much of the
00:21:33
state with record setting rainfall all in
tears say each one of the stacks of dry
00:21:38
food weighs more than four hundred fifty
kilograms. Donations mostly sourced
00:21:43
through Facebook help deliver the better
name care for the dog sheltering at the
00:21:47
North Carolina State Fairgrounds I want to
people we saw that secure Trina they're
00:21:52
not leaving their houses and less they
can take their jobs with them for many
00:21:57
people the jobs are all they have. People
donated mostly cleaning supplies and
00:22:02
water while being
00:22:03
a chef Jose Andres and his nonprofit world
center kitchen help feed volunteers but
00:22:08
it's just wrong it's teamwork you know I've
got people that probably never. In the
00:22:12
case before I've got people have never dog
walked the dog before but it's just the
00:22:16
news it wasn't where they need it. Volunteers
say much of these goods are going to
00:22:22
some of the most rural parts of the state
where people may not have electricity or
00:22:26
clean water area residents went shopping
just to donated all everything on the
00:22:30
lists actually so dog food leaves
blankets towels paper towels or hocks
00:22:37
wipes and bowls the more than one hundred
animals at this makeshift shelter will be
00:22:42
matched with foster care homes if they're
not claimed by owners of the next or next
00:22:47
unlikely volunteer say as they were already
abandoned meaning these animals are now
00:22:51
more likely than ever to find permanent
homes rush to be only news Raleigh North
00:22:56
Carolina in Baltimore
00:22:58
a free after school music program called
orchids is being used as an instrument of
00:23:03
change for children in underprivileged
neighborhoods the program sponsored by the
00:23:07
Baltimore Symphony Orchestra
aims to create social change in
00:23:11
a city where about forty percent of the
population live in poverty via ways Deborah
00:23:17
block reports. Here at the SEED School in
00:23:23
Baltimore fifteen year old
Nina Robinson concentrates on
00:23:27
a piece of classical music for the past
four years has been taking free after
00:23:33
school group violin lessons through for
kids and makes me so happy because I know
00:23:40
I know like I can do different styles. Her
teacher aren't him working career and
00:23:47
study violin at the prestigious Peabody
Institute in Baltimore Kim says Nina's
00:23:53
determination has helped make her
00:23:55
a top student. Given someone
like me not the confidence. And
00:24:02
the practice to be in
front of people to have
00:24:05
a skill set that you can be proud of. Name
as musical journey started when she and
00:24:11
her mother soon. And Johnson watched
00:24:13
a concert in Baltimore that showcased more
kids not knowing that one day Nima would
00:24:19
be onstage herself with the mostly
African-American girls. And them elbow name and
00:24:25
number one what you should be doing. Had
00:24:31
a hard start in life with
both parents in prison as
00:24:35
a result Johnson became both Guardian
and mother to her she's helped me
00:24:41
a lot shares my number one
supporter she fusses I made
00:24:44
a practice is precious to me and like if
it wasn't for Mom I don't think I would
00:24:49
like
00:24:49
a rolling voice wasn't good in playing.
Thanks to her free violin lessons Nina
00:24:57
was accepted into the Baltimore school for
the Arts where she now studies music.
00:25:03
She hopes to earn
00:25:04
a college degree in music so she can teach
other black children like herself how to
00:25:10
live their lives on
00:25:11
a high no. It doesn't matter what
race you live. You can use. As
00:25:19
if it's your passions it's
your passion. Deborah blah
00:25:25
feelings fault. This is video ways
00:25:32
international edition
00:25:33
a Japanese entrepreneur has signed up to
be the first passenger that privately
00:25:38
owned space X.
00:25:39
Will fly to the moon speaks to the
founder and chief executive officer Musk
00:25:44
introduced USACA Meyers Arwa during an
event Monday evening for me these projects
00:25:50
these very meaningful I have thought long
on the hot about the how very enable it
00:25:56
to be to become the fast private jet to
go to the moon at the same time I thought
00:26:03
about how I can give back to. The higher
discount quandary buttes to the peace
00:26:10
this is my lifelong dream. The Japanese
billionaire will orbit the moon aboard the
00:26:15
company's big fell can rock it in twenty
twenty three well the stars were out in
00:26:20
Hollywood last night as they celebrated
television's biggest night the Emmy Awards
00:26:26
A.P. Entertainment editor
Oscar Wells Gabriel has
00:26:29
a wrap up of the key winners and losers
even after taking off the year the best
00:26:34
drama winner is Game of the series has won
another Emmy for Best Drama picking up
00:26:40
where it left off the year before last
the show was not made eligible for last
00:26:44
year's Emmys and it quickly snatched back
the mantle that was won by The Handmaid's
00:26:48
Tale Peter Dinklage picks up his third Emmy
for the show on the comedy side Amazons
00:26:53
the marvelous Miss Mays ill becomes the
first streaming series to win talk show
00:26:57
honors over all the promise of diversity
winning the night ended up being
00:27:00
unfulfilled While the field of nominees was
diverse the list of winners not so much
00:27:06
Gabriel and you've been listening to
international edition you can find us at
00:27:10
V.O.A. News dot com or like
us on Facebook at V.O.A.
00:27:14
Now thanks for joining us and thanks
to our director Patrice Martin and our
00:27:18
engineer Nash one color I'm Jim Birch
held in Washington thanks for listening.
00:28:12
Yeah.
00:28:21
Yeah.
00:28:31
Yeah.
00:28:41
This is
00:28:41
a shocker host of straight talk Africa on
the next straight talk Africa the African
00:28:47
capacity building foundation the Africa
Union's specialized agency for capacity
00:28:53
development as Corden ated programs worth
seven hundred million dollars since one
00:28:58
thousand nine hundred ninety one the African
capacity building foundation on the
00:29:03
next street talk Africa in one of the
day that eighteen to thirty U.T.C.
00:29:07
Right here on Africa.
00:29:19
Good evening everyone I mean on the DO
welcome to health chat the beat and Melinda
00:29:24
Gates Foundation just released its twenty
eighteen goalkeepers report it is an
00:29:30
initiative launched in two thousand and
seventeen to track progress on the
00:29:34
sustainable development goals or as
00:29:37
a collection of seventeen global goes
said by the United Nations Development
00:29:41
Program to be attended by the year twenty
thirteen according to the United Nations
00:29:47
the as. A universal call to action to end
poverty protect the planet and ensure
00:29:54
that all people enjoy peace and prosperity
among other things I spoke to Melinda
00:29:59
Gates co-founder of the Bill and Melinda
Gates Foundation and asked her why it was
00:30:04
important to publish such a
report many in the gates
00:30:08
a welcome to the Voice of America thank you
so much for joining us today thank you
00:30:12
I'm glad to be here the Bill and
Melinda Gates Foundation release
00:30:16
a report the Bill and Melinda Gates two
thousand and eight seen goalkeepers report
00:30:22
it has just been released and it's an
initiative launched in two thousand and
00:30:27
seventeen to track progress on the
sustainable development goals why was it
00:30:32
important to publish such
00:30:33
a report Well these goals that were set by
the member nations of the United Nations
00:30:39
really are a roadmap in
00:30:41
a blueprint for the world on if we make
these investments we can really make
00:30:46
progress as a world but we felt
it was important to publish
00:30:49
a report every year so that we
hold ourselves accountable as
00:30:54
a world to these goals and we can actually
measure year by year is the world making
00:30:59
progress so then what is the value added
of the report as the global community ends
00:31:04
to achieve. Is it to measure essentially
how we making progress. Yes the
00:31:11
report helps us show are we making progress
and it also shines light on countries
00:31:17
that have made certain investments like
Brazil on nutrition or Vietnam on education
00:31:22
to say these are exemplars for the world
they've made incredible progress by the
00:31:27
very specific investments they've made and
these are road maps for other countries
00:31:32
to then follow Now this is the second
publication of the report what did you find
00:31:38
significant this year what were some of the
significant findings one of the biggest
00:31:43
findings that we wanted to highlight that
I think we felt many people didn't know
00:31:48
was how young the population is an Africa
sixty percent of the population is under
00:31:54
the age of twenty five and so if the world
makes the right investments in health
00:32:00
and nutrition and education this is an
amazing generation that has unbelievable
00:32:07
ingenuity and if we make those investments
we give them leadership opportunities to
00:32:12
lift their societies and their countries
up and we want to make sure that message
00:32:17
gets out to the world let's make these
investments so that they can change their
00:32:21
whole country so then clearly investment
is very critical in terms of caring this
00:32:28
young population in the future for
economic growth what are your thoughts the
00:32:33
importance of young people in Africa's
development as we look to achieving the
00:32:38
sustainable development goals Well the
young people often are have the new ideas
00:32:44
they have vibrancy they're
energetic they see things in
00:32:48
a different way and if we make sure that
we give those leaders the opportunities
00:32:53
they will seize them and they will make
sure that things change in their countries
00:32:58
some perfect examples are some of the young
women I'm meeting in the health sector
00:33:03
they're saying we're realizing that if we
give access to contraceptives to young
00:33:09
women that is women who come in who are.
Are sixteen seventeen eighteen years old
00:33:13
and we're not biased about how we treat
them oh my gosh they can space the birth of
00:33:17
their children attend school and stay in
university we know that those investments
00:33:23
and contraceptives that when women have
access around the world it lifts up their
00:33:29
whole family and it lifts up whole economies
and so I am inspired by these young
00:33:33
leaders who say I'm going to work on
taking bias out of the health care system
00:33:37
that's just one example of many and you
mentioned contraceptive it's definitely
00:33:42
part of the big picture as we look
at Family Planning Why is that
00:33:46
a key aspect of development because if you
look at all the economies who have made
00:33:51
the transition from low to middle to
high income countries every one of them
00:33:57
allowed voluntary access to contraceptives
to women because we know if men and
00:34:03
women can spare the birth of their children
and have them if and when they want to
00:34:08
have them there are more opportunities
than for those children and for their
00:34:12
families girls can stay in school they can
get their daughters educated they can
00:34:17
feed their children once they're fed
well fed nourished educated those people
00:34:22
create amazing opportunities in new jobs
in the economy but you can't make that
00:34:28
economic transition without that is one
of the pillars that you have to put in
00:34:33
place is voluntary access to contraceptives
it's not the only but it's one of the
00:34:37
key levers what key states. When
discussing family planning to
00:34:43
adolescent girls of
reproductive age versus
00:34:46
a woman what are some of the strategies
Well first you have to teach
00:34:50
a young woman about her body right about
how her reproductive organs work her
00:34:56
sexuality and then you have to tell her
about methods that might work for her as
00:35:00
a young teenage girl we know
that over the course of
00:35:03
a woman's life what she chooses will be
different at different times based on what
00:35:08
her needs are you also have to take away.
A lot of myths that they've heard and to
00:35:13
counsel them about side effects and where
to go if they're having problems all of
00:35:18
those are important steps but they're
all completely possible we've seen them
00:35:21
country after country and literally if you
start educating women and you give them
00:35:25
access to contraceptives it only takes one
generation till they take them up your
00:35:30
travel to Kenya earlier this year would you
please share with us that experience in
00:35:34
terms of talking to young women and girls
and addressing their needs Well I've
00:35:39
talked to young women and girls all over
Africa for many years and I would say in
00:35:44
Kenya one of the most exciting things I
saw this year were actually to be honest
00:35:47
the governors the young leaders who are
in power now in Kenya those governors are
00:35:52
interested in making the right investments
in their states in Kenya and that
00:35:58
includes investments in nutrition investments
in the doing the right things in
00:36:02
clinics and in immunizations but one of the
most exciting things that they told me
00:36:06
is how interested they are in contraceptives
for young girls and making sure they
00:36:10
have access that was something I had
never heard from the leadership in Kenya
00:36:13
before then when I also met with President
Kenyatta one of his four pillars that
00:36:19
he's putting in place is making sure that
people have great access to health care
00:36:24
so when you see
00:36:25
a government that is making investments in
health and making the right investments
00:36:30
that's the kind of leadership we want to
see all over the world and those are some
00:36:34
of the kinds of things that we highlight
in this goalkeeper's report you are
00:36:38
definitely
00:36:38
a firm believer in empowering women and
girls and we've been following your work
00:36:42
over the years when you look at where we
are now we just talked about access to
00:36:46
contraceptive and family planning what
do you see as some of our other priority
00:36:52
areas in developing countries especially
for going to countries as the world looks
00:36:57
to achieving this in twenty thirty sure
in countries the investments that need to
00:37:03
be made are in health and education
and in the agricultural sector if you
00:37:10
make an. All three of those areas so in
health making sure that number of childhood
00:37:15
deaths go down by vaccinating children
making sure people have access to malaria
00:37:20
bed net making sure they have access
to contraceptives good nutrition and
00:37:24
counseling around nutrition in
education we've made as a world
00:37:29
a commitment in the previous set of goals
to make sure kids had access to school
00:37:34
which they now do so in Rowland's there but
we needed that the quality of education
00:37:39
to come up much like Vietnam has done as
we highlight in the report and in the
00:37:43
agriculture sector we need to make
sure that we help countries move from
00:37:47
subsistence farming to making real
investment so that you can do larger scale
00:37:52
farming so they can feed
themselves and again we give
00:37:55
a great example of that from Ghana in the
report now let's look at poverty I mean
00:38:00
we've been talking about this to some
extent since two thousand more than
00:38:04
a billion people are lifted themselves
out of extreme poverty which is
00:38:09
a great achievement and this is mentioned
in the in the report however the report
00:38:13
also sais adik kids of stunning progress
in the fight against poverty and disease
00:38:17
may be on the verge of starting to what
do you attribute this challenge. Well we
00:38:24
wanted to highlight what we're seeing So
as you said this incredible reduction in
00:38:29
poverty incredible but what we don't
want the world to assume is that it's
00:38:34
inevitable it is because of investments
the world to made systematically in human
00:38:40
capital in health in education in agriculture
when those systematic investments are
00:38:46
made you see this enormous reduction in
poverty and life gets better it improves
00:38:51
for people around the world but converse
Leigh if you don't make those investments
00:38:55
if you don't continue to
make those investments
00:38:58
a lot of the gains that we've seen
can drop back particularly with
00:39:01
a growing population and so our message
is to the world is keep your foot on the
00:39:06
gas keep the accelerator going we need
to keep making these investments both we
00:39:11
need high income countries to make the
continued investments in things like the
00:39:15
Global Fund and we need low and middle
income countries to keep making the
00:39:19
investments in their own country and the
new measure measure with great data
00:39:23
because that's how we learn you talked
about investment in the Bill and Melinda
00:39:28
Gates Foundation has invested more than
fifteen billion dollars in projects
00:39:32
relevant to Africa Why is Africa such
an important part of your work we
00:39:36
fundamentally believe as
00:39:38
a foundation and Bill and I that all lives
all lives have equal value no matter
00:39:43
where their lives on the planet yet when
you see some of the people who are in
00:39:47
extreme poverty or extreme situation where
many many infants are dying or mothers
00:39:53
are dying in childbirth you see
00:39:55
a lot of that predominantly
in countries in Africa and
00:39:59
a couple of states in northern India
and so we call out Africa and we make
00:40:04
substantial investments in Africa because
we think life can improve there in the
00:40:09
ways that it has in other places in the
world like South Korea that used to be
00:40:13
a low income country that no longer is
the other thing I want to say about our
00:40:18
investments while they look at streaming
a large fifteen billion dollars is
00:40:21
a large number with you look at
what. We're trying to tackle as
00:40:25
a foundation it takes immense partnership
around the world many many many partners
00:40:31
doing the work on the ground in culturally
can textually sensitised ways and
00:40:37
governments governments Gaylene these
projects up so that everyone can have those
00:40:42
benefits so our foundation is what we call
00:40:45
a catalytic wedge we start getting those
things going we show Points of Light ways
00:40:50
of making change we take some risks but
ultimately it's the governments who scale
00:40:56
them up and that work is done in deep
partnership with many people around the globe
00:41:00
and what should we look forward to in terms
of future and vest and priorities Well
00:41:04
I think for us as
00:41:05
a foundation we will always be focused on
the things we're focused on now that is
00:41:10
health agriculture and we're doing
00:41:12
a bit of international education quality
international education around the world
00:41:16
what I think you can see for us
though while we've always had
00:41:19
a science and technology focus because Bill
and I believe fundamentally innovations
00:41:24
that change the world you've seen us move
more towards how do we deliver those
00:41:28
great advances in the last few years we've
gotten much more focused on delivery and
00:41:33
I think you're now also seeing us talking
00:41:34
a lot more about women's empowerment because
if we want to get enormous gains in
00:41:39
the world we need to pull all three
levels the science and technology get it
00:41:44
delivered and then we've got to get it in
the hands of women because women so often
00:41:49
are at the center of the family and are
the ones who are making those investments
00:41:53
in their family and so you'll see us doing
even more in women's empowerment because
00:41:58
that will lift up the whole world amending
the gates and thank you so much for your
00:42:02
time today thank you Lenore. And that was
made in that Gates co-founder of the bill
00:42:08
admitting their Gates Foundation
Well it's now time to take
00:42:11
a short break and when
we come back we'll have
00:42:14
a live discussion on the unsafe surgeries
which is very critical in health care
00:42:20
delivery but first a quick roundup
of the latest health news we've come
00:42:25
a lot Tom. The
00:42:32
latest child mortality
report released today shows
00:42:35
a steady reduction in child mortality in
Nigeria continued in two thousand and
00:42:39
seventeen according to the new mortality
estimates released by UNICEF the World
00:42:44
Health Organization the United Nations'
population division and the World Bank
00:42:48
Group under five mortality rate in Nigeria
reduced from one hundred three point
00:42:52
eight in two thousand and sixteen to one
hundred point two deaths per one thousand
00:42:57
live births Furthermore That's how mortality
rates fell from thirty three point
00:43:02
five to thirty two point nine how mortality
rate refers to the probability of dying
00:43:08
between birth and twenty eight days of age
expressed per one thousand live births
00:43:13
the latest levels and trends in child
mortality Report two thousand and eighteen
00:43:17
from UNICEF and partners in the UN interagency
group for child mortality estimation
00:43:22
shows the full scope of child in mortality
rates across the world from newborns to
00:43:26
adolescents Botswana leaders made
00:43:28
a call for urgent action on non-communicable
diseases or in C.D.'s in the African
00:43:33
region Monday at
00:43:34
a landmark forum held and. The call
comes as the world prepares for
00:43:38
a high level meeting on in C.D.'s at the
UN General Assembly in New York which will
00:43:43
take place at the end of September two
thousand and eighteen in C.D.'s our group of
00:43:47
chronic health conditions that include
cardiovascular diseases cancers mental
00:43:52
disorders and diabetes they are now the
leading killers on the planet causing seven
00:43:56
in ten best globally the major causes are
avoidable risk factors like tobacco use
00:44:02
harmful alcohol consumption physical and
that. City and healthy diets in Africa
00:44:07
countries are seeing
00:44:07
a rapid rise in CD cases some Bob boy is
struggling with this debt outbreak of
00:44:13
cholera and decade which has killed at least
twenty eight people and emergency has
00:44:18
been the clear and public gatherings banned
in the capital Harare an outbreak of
00:44:22
the waterborne disease was confirmed by
authorities in early September killing five
00:44:27
people and infecting dozens more within
weeks the death toll had risen to twenty
00:44:31
eight with more than five thousand reported
cases of infection the World Health
00:44:35
Organization and the Red Cross are ramping
up their emergency response national and
00:44:40
local politicians are trading blame over
00:44:42
a failure to maintain safe water supplies
and maintain infrastructure and that's
00:44:47
a wrap up of the latest news.
00:44:55
Welcome back for those of you joining us
late tonight we will be talking now in the
00:45:01
second half of the program we will turn
to sort of surgery every year millions of
00:45:08
people undergo surgical treatment and
while surgical procedures are intended to
00:45:13
save lives and save surgical care can
cause substantial harm the World Health
00:45:18
Organization says complications after
in-patient operations or cooler in up to
00:45:23
twenty five percent of patients and
multi-tiered from general anesthesia alone is
00:45:29
reported to be as high as one in one
hundred fifty in some parts of sub-Saharan
00:45:36
Africa well to discuss this we are joined
via phone from Baltimore Maryland by
00:45:43
Dr Jones around oh he's a
global surgery director J.P.
00:45:49
I go global health nonprofit organization
and Dr Varada Welcome to the show I thank
00:45:56
you and thank you for having us on your
show fantastic We're also joined by Dr
00:46:00
Augustine O'Hara director of the
safe surgery pro. With J.P.
00:46:05
Growth on Sanya duck to head out thank you
so much for joining us I think you so
00:46:10
that both of you got together joining us
from Baltimore and listen this surgery is
00:46:16
a topic that is so critical however
there seems not to have enough coverage
00:46:23
to my experience so let me start with
you Dr Varadero would you describe for
00:46:30
us the rule burden of surgical care
to what extent is the problem.
00:46:39
It is
00:46:40
a very important issue and to start when
we talk about surgical care we need to
00:46:45
acknowledge that it's an absolutely
essential component of health care and as
00:46:51
you're alluding to I think it's that important
to do tend to be underestimated even
00:46:57
within the global health community to put
that in perspective you know globally
00:47:02
five billion people five billion people
lack access to safe surgical care and if we
00:47:09
look at the You compared to other health
conditions for example more lives
00:47:16
are lost from from treatable
surgical conditions then from HIV
00:47:22
malaria and TB combined in factors eighteen
million lives are lost due to lack of
00:47:27
access to safe surgical care that's
five times more than the malaria and TB
00:47:33
combined and he when we start looking
at this what you know underlines these
00:47:39
numbers are also. Equity gaps if
we look at you know globally that
00:47:46
the burden of this lack of access falls
more heavily on certain countries such as
00:47:53
in the Sub-Saharan Africa Southeast Asia
and parts of Latin American Caribbean and
00:47:58
you see this inequity even within countries
you looking at certain populations that
00:48:03
really lack. Access to it such as
rural versus urban populations and
00:48:10
you know that really. Drives
I drive that inequity.
00:48:18
Really I mean to think about it it's
incredible to know that so many people died
00:48:24
die of it but. You know we don't
talk much about. Dr Heather let me
00:48:31
ask you this Dr. Mention five billion people
surgical care how does this translate
00:48:38
into. Describes the situation in.
00:48:45
The situation in Tanzania is. Just
like what Dr but I was just mentioned.
00:48:53
So in the regions where
we were. We have. Very
00:48:59
few specialists for providing such
00:49:04
a care so we went into regions in Tanzania
called country or in my our intellects
00:49:10
one of the underneath and in these regions
we have only one. Tragic or specialist
00:49:17
for population of about three million people
and then also about three O.B.-G.Y.N.
00:49:23
Is for police for example pollution and no
anesthesiologists so simply there are no
00:49:29
enough specialists to provide
services. And the number of
00:49:36
the number one procedure that is being done
in these facilities he's very inception
00:49:42
so. What we're doing now he's to train
one specialist to be able to provide.
00:49:50
Skilled safe fragile care for for the
populations in these areas Wow that's
00:49:55
incredible doctor although
when you had such
00:49:57
a sick instance and you want specialists
for so many people would you say that the
00:50:03
fundamental issue here is lack of specialist
lack of expertise when it comes to low
00:50:10
and middle income country countries or
does it depend on each country or each
00:50:15
region Well you know I do think it
depends on the different context but we
00:50:22
do know that the lack of. The workforce
lack of skills in the workforce is an issue
00:50:29
but it doesn't mean that it has to be
00:50:31
a specialist and so that's what we're
focusing on in Tanzania and Kenya and also
00:50:36
many of our countries is building the
skills of these non-specialist And if these
00:50:40
non-specialists teams. Our we build the
their skills or knowledge to the point
00:50:47
where they're competent and confident and
able to provide the services then you're
00:50:52
you're building that access the other
issue also is it is not just around human
00:50:57
resources but ensuring that the that the
facility the infrastructure is there the.
00:51:04
Equipment the supplies the oxygen water new
blood all those things honey go hand in
00:51:09
hand so that the hell are you mention
that in one of these areas there is no.
00:51:17
Dentist does not exist
so how do you handle
00:51:19
a situation like this. Yes So we're building
the capacity of these teams to be able
00:51:25
to. Provide safe touch with his
fist by training them whipping them
00:51:32
on leadership sheep skills that help them
to identify some challenges that they
00:51:38
face on the day to day. Basis.
Then put up action plans
00:51:44
so some of these challenges but we're
also pairing them to mentors from
00:51:50
a local referrals or the
hospital and these.
00:51:56
Mentors can help them. Work with them
to solve the challenges but also for
00:52:04
work with them to do cycle procedures
meaning that to build their confidence in
00:52:09
providing safe surgery and with
less complications. Now that the.
00:52:16
Doctor had are mentioned earlier that many
many of the patients who need well the
00:52:22
number one surgery is being provided
these kids are in fiction so
00:52:29
how woman being affected
by these very need to
00:52:36
access to the surgery. A great point
because we were talking about those
00:52:42
numbers we also see that there's
00:52:44
a. Gender gap as well and if we
look at globally you know which
00:52:52
if you timely access to you say
to their infection can prevent
00:52:59
nearly one hundred thousand maternal deaths
each year can reduce newborns as five
00:53:04
thirty to seventy percent and so to
privatise approach is that beyond just
00:53:09
providing the routine maternal
00:53:12
a newborn health services we want to
make sure that we're also including the
00:53:16
surgical component because without that
then you're not really going to have as
00:53:20
much of an impact on improving maternal
00:53:24
a newborn health and look ahead are
intent on yet then what are. The
00:53:30
steps I know you talked about
capacity building this is also
00:53:35
a problem of the health care system as
00:53:37
a whole so what what is being
done in that regard. So
00:53:45
as the mission level we are supporting
the government of Tanzania to. Develop
00:53:51
admission or we have supported them to
develop initial strategy school of sitting
00:53:56
in a city a plan that he's like
00:53:58
a road map for strengthening technical
services such as Phil says in
00:54:04
a few senses in the country in general
but then we're also working at
00:54:09
a facility level in these two
regions where as a seed we train
00:54:13
a practical teams to empower them to be
able to talk the challenges but we also
00:54:19
giving them clinical skills. In the fiction
prevention skills so that the surgeries
00:54:25
they do have less complications and they
can provide more access to said Jerry to
00:54:31
the communities around them. Not the how
to access to safe surgery access to
00:54:36
Surgeon General. Yes the problem in the
developing world in the developed world is
00:54:43
some people will say well argue that the
cost of surgery is a problem so if it is
00:54:49
a problem in countries where people have
the means to have surgeries What about in
00:54:54
the developing world in
00:54:55
a place like Tanzania are the countries
what is your take on the cost of surgery.
00:55:02
And that's another shocking other great
point and when we talk about access we can
00:55:05
talk about whether it's just the
physical location so distance to
00:55:11
a facility having the qualified provider
and the infrastructure as you mentioned
00:55:16
but also the cost and so that can be
00:55:19
a real barrier especially with you talking
about where the access is only in the
00:55:24
private sector so Thursday that's where we
really have this push for the universal
00:55:28
health coverage because you know if
you if it's too costly that we can
00:55:35
that it prevents that access and the the
choice for the family is to decide whether
00:55:40
either to forego. The services
or to go into extreme
00:55:47
debt so that is that is a
00:55:50
a really high top priority for us is to
guarantee universal health coverage to so
00:55:56
that people don't need to make that
decision and that they don't have that they
00:55:59
aren't. But when debt go into poverty
just by having this basic service
00:56:07
and then quickly before we wrap it up of
our own. Well how would you make the case
00:56:13
for the surgery I mean when you look at
the Senate bill Development Goals and all
00:56:17
the issue on the agenda I think that in
general when we want to advance global
00:56:22
health there's surgery again as I mentioned
that doesn't seem to get much attention
00:56:28
how do we make
00:56:28
a case but we make the case by Safari
pointing out the importance of surgical
00:56:35
care that it's not a luxury that it is
00:56:38
a absolutely essential and individual
component of health care and that by making
00:56:44
the investment actually you if you look at
the investments needed for safe surgery
00:56:49
that you have a return on that
investment and so it's actually
00:56:55
a wise investment for four countries and
so we we can look at from from that sample
00:57:01
. As well as
00:57:02
a human rights standpoint so I think that's
where we need to really kind of drive
00:57:06
the message and to head out the final
was. About perhaps some positive
00:57:13
outcome you've seen since you've been
working on this so we decided to implement
00:57:20
these programs earlier this year and already
seen eighty five. Days actually seems
00:57:26
that you're training has more on the way
and communications they've developed
00:57:32
action plan was to solve many of the
challenges they face like the one to increase
00:57:38
as you call volumes in the facilities we
want to reduce complication rates we want
00:57:43
to use waiting times for patients but they
also using traditional surgical safety
00:57:50
cheerfully which is
00:57:50
a simple tool to change safety you know
to communication is indispensable to our
00:57:57
identity and we have to leave it there
thank you so much Dr August you know Helen
00:58:00
and Dr Jennifer Caudle for joining us today
thank you know thank you and we also
00:58:06
thank the gates
00:58:07
a co-founder of the Bill and Melinda Gates
foundation for talking to health chats
00:58:12
this thanks to all of you for joining
us and thanks to all our T.V.
00:58:15
It's
00:58:15
a caring health desk I'm your host you know
I'm with you in Washington with producer
00:58:19
. Tom with the news and engineer afraid
until next time take care be well and
00:58:26
strive to make every day
00:58:28
a healthy day. This
00:59:12
is the way news I'm Tommy McNeil rushes the
fence ministry says hostile actions by
00:59:18
Israeli fighter jet pilots led to
Syrian air defense system shooting down
00:59:23
a Russian military reconnaissance plane
killing fifteen people aboard now as E.P.
00:59:28
Correspondent Charles de Ledesma reports
experts will be looking to see there has
00:59:32
been
00:59:33
a current breakdown of communication between
Russia and Israel over the Syrian air
00:59:37
space Russian state television has quoted
00:59:39
a leading official saying Israel is fully
to blame for the deaths Moscow claims
00:59:44
Israel didn't warn it of its operation until
an minutes before the strike which did
00:59:48
not give the Russian planes
enough time to escape
00:59:51
a recovery operation is now underway in
the Mediterranean Sea to retrieve bodies
00:59:55
and fragments of the wreckage from the L
one twenty at Croft for several years
00:59:59
Israel and Russia have maintained
01:00:01
a special hotline to prevent that Ethel's
is them clashing in the skies over Syria
01:00:06
Israeli military officials had previously
praised its effectiveness I'm jealous of
01:00:10
it as my china is responding to U.S.
01:00:12
President Donald Trump's plans to impose
an additional two hundred billion dollars
01:00:17
worth of tariffs on Chinese
imports we think. What the U.S.
01:00:21
Is doing right now on these economic
madness mats Harbor on the president of
01:00:26
European Union Chamber of Commerce in
China says this is not going to help deal
01:00:30
with the problems the new duties which
take effect next Monday September twenty
01:00:35
fourth will begin at ten percent then
rise to twenty five percent in January of
01:00:40
next year the terrorist will be unposed
on thousands of consumer goods including
01:00:44
electronics food tools and housewares
President Trump has ordered the Justice
01:00:50
Department to declassify
01:00:51
a trove of documents related to the
investigation into Russian election meddling
01:00:56
White House spokeswoman Sara sander says
the information to be made public includes
01:01:00
F.B.I. Surveillance warrants of
former Trump campaign advisors and
01:01:05
a high ranking official at the U.S.
01:01:07
Department of Justice this is viewing news.
Tens of thousands of North Koreans did
01:01:13
unification and wait flowers at their leader
Kim Jong un and South Korean president
01:01:19
moon J N N A parade through
Pyongyang says as a to kick off
01:01:23
a summit aimed at rekindling stalled
nuclear diplomacy Reuters Grace Lee.
01:01:30
The Leader.
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